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P-120 Integrated palliative outcome scale (IPOS) spider diagrams – Impact on inpatient unit staff
  1. Sarah Wells,
  2. Rachel Perry,
  3. Wardha Hussein and
  4. Lauren Jones
  1. Marie Curie, Solihull, UK


Background Outcome Measures – Palliative phase of illness, Australian Karnofsky and IPOS were introduced to the hospice in 2016. Through work with an analytics company (BLUEFish) we have been able to produce a visual display of the patient specific IPOS scores directly from the electronic patient record. SystmOne can be configured to include additional menu items (buttons) on the patient record toolbar which enable functions that are not available within SystmOne. Outcome measures reporting used at Marie Curie sits outside of SystmOne and by customizing the toolbar, users can launch the IPOS Spider diagram report for the current patient with a single click. This spider diagram is projected onto the wall during IPU MDT. The MDT chair uses the spider diagram to structure discussion within physical, social, psychological, and spiritual domains.

Aims To improve person-centred care on an inpatient unit (IPU) through engagement of the wider MDT by displaying individual IPOS scores in spider diagram format at the weekly MDT meeting.

Methods 15 staff members across the IPU MDT were interviewed. Questions were directed to the impact of the IPOS spider diagrams on their awareness, engagement and impact on symptoms identified by patients.

Results Interviews are in progress, but initial feedback shows improved awareness, engagement, and impact on patients’ symptoms.

Conclusion IPOS spider diagrams displayed at IPU MDT have created a shift to a more person-centered and holistic style of care through improved engagement of the wider multi-disciplinary team.

Impact on practice Improved holistic symptom control can be achieved through powerful data display.

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