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Implementation of the quality management system improves postoperative pain treatment: a prospective pre-/post-interventional questionnaire study
BACKGROUND: An organizational approach is proposed as an immediate solution for improving postoperative pain (POP) management. The aim was to evaluate the clinical effectiveness of a quality management system (QMS), based on procedure-specific, multimodal analgesic protocols, modified to meet the in...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520148/ https://www.ncbi.nlm.nih.gov/pubmed/23048069 http://dx.doi.org/10.1093/bja/aes352 |
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author | Usichenko, T. I. Röttenbacher, I. Kohlmann, T. Jülich, A. Lange, J. Mustea, A. Engel, G. Wendt, M. |
author_facet | Usichenko, T. I. Röttenbacher, I. Kohlmann, T. Jülich, A. Lange, J. Mustea, A. Engel, G. Wendt, M. |
author_sort | Usichenko, T. I. |
collection | PubMed |
description | BACKGROUND: An organizational approach is proposed as an immediate solution for improving postoperative pain (POP) management. The aim was to evaluate the clinical effectiveness of a quality management system (QMS), based on procedure-specific, multimodal analgesic protocols, modified to meet the individual patients’ requirements. METHODS: Patients from the orthopaedic, gynaecological, visceral, and trauma surgery departments of the university hospital were involved in two prospective surveys. Survey 1 was performed at baseline and survey 2 was performed after the implementation of QMS within an interval of 1 year. The patients were asked to report pain intensity on the visual rating scale, incidence of analgesia-related side-effects, and incidence of pain interference with the items of life quality and their satisfaction with the treatment of POP. RESULTS: Patients from Survey 2 (n=251) reported 25–30% less pain than those from Survey 1 (n=269) (P<0.0001). Nausea was reported by 40% of the patients from Survey 1 vs 17% from Survey 2, vomiting by 25 vs 11% and fatigue by 76% in Survey 1 vs 30% in Survey 2 (P<0.0001). Life quality and patients’ satisfaction improved in Survey 2 vs Survey 1 (P<0.001). CONCLUSIONS: The implementation of QMS allowed the reduction in POP intensity with a simultaneous decrease in analgesia-related side-effects. This has led to an increased quality of life and patient satisfaction. |
format | Online Article Text |
id | pubmed-3520148 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35201482012-12-12 Implementation of the quality management system improves postoperative pain treatment: a prospective pre-/post-interventional questionnaire study Usichenko, T. I. Röttenbacher, I. Kohlmann, T. Jülich, A. Lange, J. Mustea, A. Engel, G. Wendt, M. Br J Anaesth Pain BACKGROUND: An organizational approach is proposed as an immediate solution for improving postoperative pain (POP) management. The aim was to evaluate the clinical effectiveness of a quality management system (QMS), based on procedure-specific, multimodal analgesic protocols, modified to meet the individual patients’ requirements. METHODS: Patients from the orthopaedic, gynaecological, visceral, and trauma surgery departments of the university hospital were involved in two prospective surveys. Survey 1 was performed at baseline and survey 2 was performed after the implementation of QMS within an interval of 1 year. The patients were asked to report pain intensity on the visual rating scale, incidence of analgesia-related side-effects, and incidence of pain interference with the items of life quality and their satisfaction with the treatment of POP. RESULTS: Patients from Survey 2 (n=251) reported 25–30% less pain than those from Survey 1 (n=269) (P<0.0001). Nausea was reported by 40% of the patients from Survey 1 vs 17% from Survey 2, vomiting by 25 vs 11% and fatigue by 76% in Survey 1 vs 30% in Survey 2 (P<0.0001). Life quality and patients’ satisfaction improved in Survey 2 vs Survey 1 (P<0.001). CONCLUSIONS: The implementation of QMS allowed the reduction in POP intensity with a simultaneous decrease in analgesia-related side-effects. This has led to an increased quality of life and patient satisfaction. Oxford University Press 2013-01 2012-10-09 /pmc/articles/PMC3520148/ /pubmed/23048069 http://dx.doi.org/10.1093/bja/aes352 Text en © The Author [2012]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/2.5/uk This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited |
spellingShingle | Pain Usichenko, T. I. Röttenbacher, I. Kohlmann, T. Jülich, A. Lange, J. Mustea, A. Engel, G. Wendt, M. Implementation of the quality management system improves postoperative pain treatment: a prospective pre-/post-interventional questionnaire study |
title | Implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
title_full | Implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
title_fullStr | Implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
title_full_unstemmed | Implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
title_short | Implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
title_sort | implementation of the quality management system improves postoperative pain
treatment: a prospective pre-/post-interventional questionnaire study |
topic | Pain |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520148/ https://www.ncbi.nlm.nih.gov/pubmed/23048069 http://dx.doi.org/10.1093/bja/aes352 |
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