Implementation of the quality management system improves postoperative pain treatment: a prospective pre-/post-interventional questionnaire study.
作者： T.I. Usichenko , I. Röttenbacher , T. Kohlmann , A. Jülich , J. Lange
DOI: 10.1093/BJA/AES352
关键词: Quality management system 、 Postoperative pain 、 Incidence (epidemiology) 、 Physical therapy 、 Nausea 、 Medicine 、 Trauma surgery 、 Questionnaire study 、 Vomiting 、 Analgesic
摘要: † This study evaluated introduction of a new evidence-based quality management system in the postoperative period. Background. An organizational approach is proposed as an immediate solution for improving pain (POP) management. The aim was to evaluate clinical effectiveness (QMS), based on procedure-specific, multimodal analgesic protocols, modified meet individual patients' requirements. Methods. Patients from orthopaedic, gynaecological, visceral, and trauma surgery departments university hospital were involved two prospective surveys. Survey 1 performed at baseline survey 2 after implementation QMS within interval year. patients asked report intensity visual rating scale, incidence analgesia-related side-effects, interference with items life their satisfaction treatment POP. Results. (n¼251) reported 25-30% less than those 1( n¼269) (P,0.0001). Nausea by 40% vs 17% 2, vomiting 25 11% fatigue 76% 30% Life improved (P,0.001).
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sci-hub.se 参考文章(26)
D. Lehmkuhl, W. Meißner, E.A.M. Neugebauer, Evaluation der „Initiative Schmerzfreie Klinik“ zur Qualitätsverbesserung in der postoperativen Schmerztherapie Schmerz. ,vol. 25, pp. 508- 515 ,(2011) , 10.1007/S00482-011-1054-Z
F. Klammer, M. Gehling, A. Klammer, J. Fass, M. Tryba, Algorithmus zur postoperativen Schmerztherapie in der Viszeral- und Thoraxchirurgie: Eine Verlaufuntersuchung Zentralblatt Fur Chirurgie. ,vol. 138, pp. 616- 621 ,(2011) , 10.1055/S-0031-1271430
Gary J. Anglin, Instructional technology : past, present, and future Libraries Unlimited. ,(1995)
Stanley I. Samuels, Anesthesiologist's Manual of Surgical Procedures ,(1994)
Marc Diby, Jacques-André Romand, Sonia Frick, Claudia Paula Heidegger, Bernhard Walder, Reducing pain in patients undergoing cardiac surgery after implementation of a quality improvement postoperative pain treatment program. Journal of Critical Care. ,vol. 23, pp. 359- 371 ,(2008) , 10.1016/J.JCRC.2007.11.005
Fran??oise M. Bardiau, Nicole F. Taviaux, Adelin Albert, Jean G. Boogaerts, Michaela Stadler, An intervention study to enhance postoperative pain management. Anesthesia & Analgesia. ,vol. 96, pp. 179- 185 ,(2003) , 10.1097/00000539-200301000-00038
Narinder Rawal, Lars Berggren, Organization of acute pain services: a low-cost model Pain. ,vol. 57, pp. 117- 123 ,(1994) , 10.1016/0304-3959(94)90115-5
Christopher L. Wu, Seth R. Cohen, Jeffrey M. Richman, Andrew J. Rowlingson, Genevieve E. Courpas, Kristin Cheung, Elaina E. Lin, Spencer S. Liu, Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology. ,vol. 103, pp. 1079- 1088 ,(2005) , 10.1097/00000542-200511000-00023
M.Z. Michel, M.K. Sanders, Effectiveness of acute postoperative pain management BJA: British Journal of Anaesthesia. ,vol. 91, pp. 448- 449 ,(2003) , 10.1093/BJA/AEG601
Jørgen B Dahl, Ole Mathiesen, Henrik Kehlet, An expert opinion on postoperative pain management, with special reference to new developments. Expert Opinion on Pharmacotherapy. ,vol. 11, pp. 2459- 2470 ,(2010) , 10.1517/14656566.2010.499124