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Related Experiment Video

Updated: Sep 10, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Using Audit to Improve End-of-Life Care in a Tertiary Cancer Centre.

Conor D Moloney1, Hailey K Carroll1, Elaine Cunningham2

  • 1Cork University Hospital, Wilton, T12 DC4A Cork, Ireland.

Current Oncology (Toronto, Ont.)
|August 27, 2025
PubMed
Summary

Implementing targeted interventions significantly improved end-of-life care (EoLC) quality for cancer patients. Re-auditing demonstrated sustained improvements in patient care and reduced instances of poor end-of-life care.

Keywords:
auditcancerend-of-life care (EoLC)oncologypalliative carequality improvement

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Area of Science:

  • Oncology
  • Palliative Care
  • Healthcare Quality Improvement

Background:

  • High-quality end-of-life care (EoLC) is crucial in oncology but often overlooked.
  • A 2021 audit identified significant EoLC deficits in cancer patients during the COVID-19 pandemic.

Purpose of the Study:

  • To assess the impact of interventions on EoLC quality in a tertiary cancer center.
  • To evaluate improvements following the implementation of a proforma, checklist, education, and an expanded committee.

Main Methods:

  • A retrospective re-audit of 72 patients who died between July 2022 and April 2023.
  • Assessment of EoLC quality using Oxford Quality Indicators.

Main Results:

  • Significant improvement in EoLC quality compared to the initial audit (p=0.021).
  • Increased documentation of patient wishes (48.8% vs 24.2%) and pastoral care referrals (68.3% vs 10.6%).
  • Reduction in poor EoLC from 21.2% to 8.3%.

Conclusions:

  • Simple interventions, re-auditing, and interdisciplinary commitment effectively enhance EoLC.
  • Sustained improvements in end-of-life care quality are achievable through structured quality initiatives.