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Table 1 Quality indicators selected for the study

From: Evaluation of the quality of care of oncologic patients with pain in palliative and pain units based on the Achievable Benchmarks of Care (ABC): project 25Q

Code Question Criterion Area
Sructural indicators
 E1 Do you have questionnaires on the perceived quality of care received, to be completed by patients treated in your clinic? The team must assess patient and family opinion and satisfaction periodically (9,13,19) Improvement of quality
 E2 Do you have care protocols based on clinical practice recommendations for the treatment of cancer pain? The team should have a series of care protocols (9,13,19) Teamwork systems
 E3 Do you have patient information documents about pain and the procedures available for its treatment? The patient must always be able to offer informed consent to the recommended interventions (9,13,19) Patient rights
 E4 Do you have protocols for follow-up and referral from the Departments of Oncology, Radiotherapeutic Oncology, and Palliative Care to the Pain Unit? The team must have a care coordination protocol with the departments attending the patient (9,13,19) Coordination between levels and departments
 E5 Do you participate with other departments in monographic multidisciplinary consultations on relevant chronic painful disorders? The team must participate in the established interdisciplinary meetings (9,13,19) Teamwork systems
 E6 Do you code your patients according to ICD-9 code 338.3 acute or chronic cancer pain? Patients with cancer patient are to be registered with ICD-9 code 338.3 Registry and documentation systems
 E7 Do you have a registry of patients treated in the unit? It is advisable for the unit to have a patient registry (9) Unit organisation and management
Process indicators
 P1 Does the initial case history include personal medical information? A full case history is to be compiled on occasion of the first visit to the unit (9,13,19) Registry and documentation systems
 P2 Does the initial case history include information on previous drug therapy for pain?
 P3 Does the initial case history include antecedents referred to pain?
 P4 Were scales, questionnaires, or other tools used for diagnosis, follow-up, and prognosis at initial evaluation of cancer pain? The team should use validated scales for diagnosis, follow-up, and prognosis (13,20) Therapeutic objectives
 P5 Does the initial case history include data on the full physical examination, including regional pain, neurological, and orthopaedic assessment? A full case history is to be compiled on occasion of the first visit to the unit (9,13,19) Registry and documentation systems
 P6 Does the case history include patient pain intensity scoring based on validated scales? The team should use validated scales for pain assessment (13) Therapeutic objectives
 P7 Does the initial case history include information referred to initial treatment planning? A pharmacotherapeutic plan should be defined for the patient (9,13,19) Registry and documentation systems
 P8 Does the case history include the treatment administered for pain, the doses, and administration routes? A full care report should be available for the patient (13,20) Registry and documentation systems
 P9 Does the case history include rescue treatment in case of breakthrough pain, the doses and frequency of administration?
 P10 Is adherence to therapy recorded in the case history?
 P11 Is treatment tolerance with the occurrence of any adverse drug effects recorded in the case history?
 P12 Was a psychological evaluation of the patient made on the first visit to the unit? A psychological evaluation of the patient should be made on the first visit to the unit (9,19) Integral care
 P13 Does the patient have an initial evaluation of his/her needs reflected in the case history? An initial evaluation of the patient needs should be made on the first visit to the unit, with registry in the case history (13) Evaluation of needs