Evidence map›Paper›PMID 40919558›Full record

ArticlePalliative medicine reports2025

A National Quality Initiative to Improve Palliative Care Outcomes: Identifying Enabling Factors that Drive Quality Improvement.

Sabina Clapham, Katherine Clark, Kylie Draper, Fiorina Mastroianni, Jesse Rand, Lisa Redwood, David Currow

Abstract read
In one paragraph

Article in Palliative medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Defining palliative care service capability: a scoping review to support quality improvement and benchmarking.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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

7 authors.

Sabina ClaphamPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
Katherine ClarkNorthern Sydney Local Health District, Supportive and Palliative Care Network, St Leonards, Australia.
Kylie DraperPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
Fiorina MastroianniPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
Jesse RandPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
Lisa RedwoodPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
David CurrowPalliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Palliative Care Outcomes Collaboration (PCOC), established in 2005 and funded by the Australian Government, is a national quality improvement initiative that integrates patient outcome measures into routine clinical practice. While PCOC supports services to improve patient care, implementation across diverse clinical settings presents challenges, with variation observed between similarly resourced services. Engaging services in continuous quality improvement proves difficult as the program grows. Objectives: To identify factors associated with high-performing palliative care services and develop and evaluate an implementation framework and education program that supports continuous quality improvement. Methods: Patient outcome data and case studies from established PCOC-participating services were analyzed to identify high-performing services and the factors enabling successful integration of outcome measures. Based on the findings, an implementation framework was developed. Improvement trends were assessed in 20 services participating pre-intervention (2016-2018) and 11 services participating post-intervention (2022-2024). Results: Five key strategies and 25 enabling factors for successful integration were identified including, leadership and governance; education to improve data literacy; infrastructure for the meaningful management of data; and uptake of PCOC in quality systems. The post-intervention services started with higher benchmark performance and showed improvements within 6 months of implementation. Addressing patient's psychological/spiritual needs continues to be challenging. Conclusion: Quality improvement involving outcome measurement and benchmarking in palliative care requires education and structured implementation with ongoing feedback. The PCOC initiative demonstrates that improving patient outcomes involves more than collecting and analyzing outcome measures and benchmarking-it requires integrated assessment models, education, and resources to support information-driven quality improvement.

Indexed as

educationimprovement frameworknationalpalliative carequality improvement

Identifiers

PMID40919558
PMCPMC12410334

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.