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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...

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Autores principales: Usichenko, T. I., Röttenbacher, I., Kohlmann, T., Jülich, A., Lange, J., Mustea, A., Engel, G., Wendt, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2013
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.
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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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