Pain as a quality management initiative

Benchmarking as a tool of continuous quality improvement in postoperative pain management

“…Dietrick-Gallagher and co-workers suggested that a given number of patients (i.e. 90%) meeting functional outcome criteria might be a meaningful target in postoperative pain therapy [23]. However, standardised tools for the evaluation of functional aspects in postoperative pain control have not been evaluated yet.…”

Qualitätsmanagement am Beispiel der postoperativen Schmerztherapie

“…Daher ist es auch nicht verwunderlich, dass nur wenige Studien prospektive Zielparameter definieren: Diese reichen von einer bestimmten nicht zu überschreitenden Schmerzin-tensität [19] bis zu komplexeren Größen, die auch Aspekte der Prozessqualität widerspiegeln (z. B. Häufigkeit der Schmerzevaluierung [9]). Die alleinige Zielgröße "Schmerzintensität" korreliert nicht immer mit der Patientenzufriedenheit [17,24].…”

“…Die alleinige Zielgröße "Schmerzintensität" korreliert nicht immer mit der Patientenzufriedenheit [17,24]. B. Physio-, Atemtherapie möglich, Nachtschlaf ungestört) einzubeziehen [3,9]. B. Physio-, Atemtherapie möglich, Nachtschlaf ungestört) einzubeziehen [3,9].…”

Implementation and evaluation of a quality improvement process to improve pain management in a hospice setting

“…One study of a 320-bed (10-unit) surgical nursing department's pain management quality improvement initiatives evaluated the effectiveness of implementing a standardized documentation system of pain assessment and staff and patient education. 3 Data was collected before and after implementation of the quality improvement strategies on the documentation of patients' pain assessment and relief of pain following medication administration; the first audit consisted of 702 patient visits (pre-implementation) and the second had 536 (post-implementation). Utilizing a pre-and post-chart audit, the authors found an increase in the mean post-test documentation of pain assessment and relief.…”

“…11 The faces scale has reported reliability and validity in children and has been used for assessing pain intensity in elderly populations and with those unable to express pain due to cultural barriers. 3 Over a six-month period, the quality improvement team organized a program of inservices for all hospice staff on pain assessment, documentation, pharmacological pain management and complementary therapies (defined for this project as relaxation, guided imagery, and distraction, music, humor and pet therapy). The topics and content of the inservices were determined by the results of the first chart audit and through feedback gained from all hospice staff at the quarterly quality improvement meetings.…”