(254) A fast-track emergency department acute sickle cell pain management algorithm results in fewer hospital admissions, decreased length of stay and increased hospital revenue

Andemariam, Biree; Odesina, Victoria; Owarish-Gross, Jasmine; Grady, James J.; Gorenbeyn, Aleksandr; Powell, Angela; Zempsky, William T.

doi:10.1016/j.jpain.2014.01.162

Cited by 2 publications

(1 citation statement)

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“…The success of these interventions depends on the education of patients, nurses, and health care providers. The outcomes of these interventions include improved pain management, hospital revenue, utilization of primary care clinics, and compliance with standard practice patterns and reduced admissions, length of stay (LOS), repeat ED visits, and 30-day readmission rates 6,17,24–30. Consequently, developing a set of quality measures and implementing evidence-based practice (EBP) clinical guidelines have the potential to improve health outcomes of SCD 31,32…”

Section: Purpose and Review Of Literaturementioning

confidence: 99%

Evidence-Based Practice Standard Care for Acute Pain Management in Adults With Sickle Cell Disease in an Urgent Care Center

Kim

Brathwaite

Kim³

2017

Quality Management in Health Care

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Background:Vaso-occlusive episodes (VOEs) with sickle cell disease (SCD) require opioid treatment. Despite evidence to support rapid pain management within 30 minutes, care for these patients does not consistently meet this benchmark. This quality improvement study sought to decrease the first analgesic administration time, increase patient satisfaction, and expedite patient flow.Methods:A prospective pre-/postevaluation design was used to evaluate outcomes with patients 18 years or older with VOEs in an urgent care (UC) center after implementation of evidence-based practice standard care (EBPSC). A pre- and postevaluation survey of SCD patients' satisfaction with care and analogous surveys of the UC team to assess awareness of EBPSC were used. A retrospective review of the electronic medical records of patients with VOEs compared mean waiting time from triage to the first analgesic administration and the mean length of stay (LOS) over 6 months.Results:Implementing EBPSC decreased the mean time of the first analgesic administration (P = .001), significantly increased patient satisfaction (P = .002), and decreased the mean LOS (P = .010).Conclusion:Implementing EBPSC is a crucial step for improving the management of VOEs and creating a positive patient experience. The intervention enhances the quality of care for the SCD population in a UC center.

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