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Table 3 Results of the pre- and post- intervention measurements of performance of quality indicators

From: Impact of a multifaceted education program on implementing a pediatric palliative care guideline: a pilot study

Indicator

Pre-intervention measurement

Post-intervention Measurement

Significant difference between pre- and post- intervention (chi-square)

Measurements

Compliance to CPG Measurements N, (%)

Compliance >80 %

Measurements N / Patients N

Compliance to CPG Measurements N, (%)

Compliance >80 % (single test for proportions)

N / Patients N

(single test for proportions)

1. Documentation VAS of pain (CR)

58 / 17

6, (10 %)

No (p < 0.001)

57 /12

6, (11 %)

No (p < 0.001)

No (p = 0.975)

2. Documentation VAS of nausea (CR)

9 / 6

0, (0 %)

No (p < 0.001)

11 /6

1, (9 %)

No (p < 0.001)

No (p = 0.353)

3. Documentation VAS of dyspnea (CR)

19 /8

0, (0 %)

No (p < 0.001)

21 /8

0, (0 %)

No (p < 0.001)

No

4. Evaluation with VAS of pain (CR)

17 /8

4, (24 %)

No (p < 0.001)

7 /5

0, (0 %)

No (p < 0.001)

No

5. Evaluation with VAS of nausea (CR)

1 /1

0, (0 %)

No (p < 0.001)

0 /0

0, (0 %)

-

No

6. Evaluation with VAS of dyspnea (CR)

4 /3

0, (0 %)

No (p < 0.001)

1 /1

0, (0 %)

-

No

7. Treatment of nausea (PQ)

5 /4

5, (100 %)

Yes (P = 0.87)

16 /2

15, (94 %)

Yes (P = 0.99)

No (p = 0.567)

8. Pain medication 2 steps ahead (PQ)

27 /9

22, (100 %)

Yes (P = 0.99)

32 /16

25, (78 %)

Yes (P = 0.39)

No (p = 0.750)

9. Pain medication 48h present (PQ)

26 /8

26, (100 %)

Yes (P = 0.99)

33 /17

30, (91 %)

Yes (P = 0.99)

No (p = 0.115)

10. Advised use of diary (fatigue) (PQ)

45 /18

0, (0 %)

No (p < 0.001)

55 /23

0, (0 %)

No (p < 0.001)

No

11. Advised spread of activities (fatigue) (PQ)

43 /16

0, (0 %)

No (p < 0.001)

54 /22

1, (2 %)

No (p < 0.001)

No

  1. CR chart review, PQ parent questionnaire
  2. Describes the compliance to the CPG for all eleven indicators before and after the multifaceted education program. The second and fifth column describe the number of available measurements for each indicator as well as the number of patients that were available for measurement. The third and sixth column describes the number of measurements which showed correct use of the CPG as well as the percentage of the total number of measurements. The fourth and seventh column describes whether a compliance of at least 80 % is seen for each indicator, assessed with a single test for proportions. The bold figures highlight the indicators where the 80% compliance was met. The last column shows whether a significant improvement in compliance is seen between the two measurements