Department of Palliative (D.H., A.R.D-M., A.R., D.S.Z., M.J., E.B.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Department of Internal Medicine (G.S.M.), Baylor College of Medicine, Houston, Texas, USA.
J Pain Symptom Manage. 2023 Aug;66(2):e197-e203. doi: 10.1016/j.jpainsymman.2023.04.012. Epub 2023 Apr 18.
This quality improvement project aimed to transition completion of Edmonton Symptom Assessment System (ESAS) at our supportive care clinic from paper to electronic format.
Proportion of patients who completed electronic ESAS (eESAS).
Starting July 2018, patients could complete eESAS 24h before check-in (eESAS-before), eESAS after check-in (eESAS-after) or on paper (pESAS).
A total of 6631 cancer patients had 25,767 clinic visits between July 13, 2018 and November 5, 2021. The ESAS completion rate was 100%. eESAS uptake gradually increased over time, first reaching ≥75% eESAS completion in 5/2019 (eESAS-after 61.9%; eESAS-before 14.0%; pESAS 24.1%). We observed a sharp uptake in eESAS-before since adoption of telehealth during the pandemic (May 2020) and the ≥75% eESAS target was consistently achieved from November 2020 onwards (eESAS-after 0.6%; eESAS-before 76.7%; pESAS 22.7%). In an anonymous survey, we identified several modifiable barriers to implementing eESAS.
Transition to eESAS was a gradual process and was catalyzed by the pandemic.
本质量改进项目旨在将我们的支持治疗诊所的 Edmonton 症状评估系统（ESAS）从纸质版转换为电子版。
完成电子 ESAS（eESAS）的患者比例。
自 2018 年 7 月起，患者可以在就诊前 24 小时（eESAS 就诊前，eESAS-before）、就诊后（eESAS 就诊后，eESAS-after）或纸质版（pESAS）填写 eESAS。
2018 年 7 月 13 日至 2021 年 11 月 5 日期间，共有 6631 名癌症患者进行了 25767 次就诊。ESAS 完成率为 100%。随着时间的推移，eESAS 的采用率逐渐增加，首次在 2019 年 5 月达到≥75%的 eESAS 完成率（eESAS 就诊后 61.9%；eESAS 就诊前 14.0%；pESAS 24.1%）。自 2020 年 5 月采用远程医疗以来，eESAS 就诊前的使用率急剧上升，并且自 2020 年 11 月以来一直保持≥75%的 eESAS 目标（eESAS 就诊后 0.6%；eESAS 就诊前 76.7%；pESAS 22.7%）。在一项匿名调查中，我们确定了实施 eESAS 的几个可修改的障碍。
向 eESAS 的过渡是一个渐进的过程，受到疫情的催化。
