Pain management practices in paediatric emergency departments in Australia and New Zealand: A clinical and organizational audit by National Health and Medical Research Council's National Institute of Clinical Studies and Paediatric Research in Emergency Departments International Collaborative

摘要: Objective:  To audit pain management practices and organization in paediatric ED across Australia New Zealand. Methods:  Retrospective of Paediatric Research Emergency Departments International Collaborative 20 cases each migraine, abdominal femoral shaft fracture. Review organizational status at sites. Results:  Of 14 ED, 10 participated the clinical audit. A total 196 197 177 femur fracture were reviewed. Less than half had degree measured or score documented on triage. Migraine received analgesia 62% (opioids 11%). Abdominal 14%). Fractured femurs 78% 49%, nerve blocks 40%). Median minutes to enteral medication 100, 85 75, for parenteral (mainly opiates) 103, 137 26, fracture, respectively. Thirteen hospitals all 92% policies guidelines, taught topics education programmes used mandatory competencies. Only 15% quality improvement reduction. Conclusion:  We found a notable lack assessment documentation delays analgesia. There is need improve management, although majority surveyed important educational structures place. Issues explore include use opioids migraine underuse blocks.