Article (Scientific journals)
An intervention study to enhance postoperative pain management.
Bardiau, Françoise; Taviaux, Nicole F; Albert, Adelin et al.
2003In Anesthesia and Analgesia, 96 (1), p. 179-85
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Keywords :
Adult; Aged; Analgesics/administration & dosage/therapeutic use; Education, Nursing; Female; Guidelines as Topic; Health Knowledge, Attitudes, Practice; Hospital Departments/manpower/organization & administration; Hospitals, General; Humans; Male; Middle Aged; Pain Clinics/manpower/organization & administration; Pain Measurement; Pain, Postoperative/drug therapy/nursing; Patient Education as Topic; Prospective Studies; Total Quality Management
Abstract :
[en] This study, conducted before and after the implementation of an acute pain service (APS) in a 1000-bed hospital, describes the process of the implementation of an APS. The nursing, anesthesia, and surgery departments were involved. In this study we sought to evaluate the results of a continuous quality improvement program by defining quality indicators and using quality tools. A quality program in accordance with current standards of acute pain treatment (multimodal) was worked out to enhance pain relief for all surgical inpatients. A survey of nurses' knowledge with regard to postoperative pain was conducted, and a visual analog scale (VAS) was introduced to assess pain intensity. Both nurses and physicians became familiar with evidence-based guidelines concerning postoperative pain. The entire process was monitored in three consecutive surveys and enrolled 2383 surgical inpatients. Pain indicators based on VAS and analgesic consumption were recorded during the first 72 postoperative hours. After a baseline survey about current practices of pain treatment, a nurse-based, anesthesiologist-supervised APS was implemented. The improvement in pain relief, expressed as VAS scores, was assessed in two further surveys. A quality manual was written and implemented. A major improvement in pain scores was observed after the APS inception (P < 0.001). IMPLICATIONS: The implementation of an acute pain service, including pain assessment by a visual analog scale, standard multimodal pain treatment, and continuous quality evaluation, improved postoperative pain relief. Establishing teams of surgeons, anesthesiologists, and nurses is the prerequisite for this improvement.
Disciplines :
General & internal medicine
Author, co-author :
Bardiau, Françoise ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique : aspects spécifiques
Taviaux, Nicole F
Albert, Adelin  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Boogaerts, Jean G
Stadler, Michaela
Language :
English
Title :
An intervention study to enhance postoperative pain management.
Publication date :
2003
Journal title :
Anesthesia and Analgesia
ISSN :
0003-2999
eISSN :
1526-7598
Publisher :
Lippincott Williams & Wilkins, Baltimore, United States - Maryland
Volume :
96
Issue :
1
Pages :
179-85, table of contents
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 10 January 2013

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