Evidence map›Paper›PMID 33271315›Full record

ArticleJournal of pain and symptom management2021

Increasing Medical Power of Attorney Completion for Hospitalized Patients During the COVID Pandemic: A Social Work Led Quality Improvement Intervention.

Sarguni Singh, Katie Herrmann, Wendy Cyriacks, Jeanie Youngwerth, Kathleen E Bickel, Hillary D Lum

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarguni SinghDivision of Hospital Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: sarguni.singh@cuanschutz.edu.
Katie HerrmannUniversity of Colorado Hospital, Aurora, CO, USA.
Wendy CyriacksDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Jeanie YoungwerthDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Kathleen E BickelDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Hillary D LumDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high risk of mechanical ventilation with COVID hospitalizations requires health-care systems to rapidly innovate advance care planning (ACP) delivery for hospitalized patients to promote goal-concordant care. MEASURES: Assess the impact of a social work and care management intervention on the proportion of admitted patients each week with a Medical Durable Power of Attorney (MDPOA).

interventionSocial workers were consulted to assist with identification of a surrogate decision maker and completion of MDPOA forms for hospitalized patients. This intervention utilized change management strategies and was implemented between April and June 2020. OUTCOMES: From a baseline average of 30.1%, the weekly percentage of admitted patients with MDPOA forms rose to 42.8% with correlating evidence of nonrandom special cause variation. LESSONS LEARNED: Use of change management strategies resulted in rapid implementation of an effective ACP initiative. Ongoing needs include focusing on intervention sustainability and education of interprofessional providers about ACP processes.

Indexed as

Advance DirectivesCOVID-19HospitalizationLiving WillsQuality ImprovementAdvance Care PlanningElectronic Health RecordsHumansPandemicsPatient Care PlanningSocial WorkAdvance care planningCOVID-19health systemshospital medicinepalliative caresocial work

Identifiers

PMID33271315
PMCPMC7834541

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.