Changing Acute Pain Management to Improve Patient Outcomes: An Educational Approach
The United States Agency for Health Care Policy and Research (AHCPR) Acute Pain Management Guidelines were written to provide a scientific basis for practice. Educational programs designed to promote use of the guidelines may change practice in community hospitals. This article describes the develop...
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Veröffentlicht in: | Journal of pain and symptom management 1999-04, Vol.17 (4), p.277-287 |
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container_title | Journal of pain and symptom management |
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creator | Dalton, Jo Ann Blau, William Lindley, Celeste Carlson, John Youngblood, Richard Greer, Susan M |
description | The United States Agency for Health Care Policy and Research (AHCPR) Acute Pain Management Guidelines were written to provide a scientific basis for practice. Educational programs designed to promote use of the guidelines may change practice in community hospitals. This article describes the development and implementation of an education program for nurses, physicians, and pharmacists in six community hospitals. Program content addressing the use of continuous quality improvement (CQI) teams, detailed pain histories, application of algorithms and dose calculation is described; direct and indirect outcome measures are reviewed. Six months after the program, all three experimental sites reported use of the AHCPR Guidelines in practice. Nurses reported that assessment and documentation of patients’ duration of pain were perceived to be the most important caregiver behaviors providing benefit to patients: Across all respondents’ reports of regularly performed activities, the activity performed by the largest proportion was assessing and documenting pain using a 0–10 rating scale.
J. Pain Symptom Manage 1999;17:277–287. |
doi_str_mv | 10.1016/S0885-3924(98)00142-0 |
format | Article |
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J. Pain Symptom Manage 1999;17:277–287.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Education, Medical, Continuing</subject><subject>Education, Nursing, Continuing</subject><subject>Education, Pharmacy, Continuing</subject><subject>General aspects</subject><subject>Hospitals, Community</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Outcome Assessment (Health Care)</subject><subject>outcome measures</subject><subject>Pain, Postoperative - psychology</subject><subject>Pain, Postoperative - therapy</subject><subject>Patient Education as Topic</subject><subject>Planification. Prevention (methods). Intervention. Evaluation</subject><subject>Postoperative pain</subject><subject>professional education</subject><subject>Public health. Hygiene</subject><subject>Public health. 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source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals |
subjects | Acute Disease Biological and medical sciences Education, Medical, Continuing Education, Nursing, Continuing Education, Pharmacy, Continuing General aspects Hospitals, Community Humans Medical sciences Outcome Assessment (Health Care) outcome measures Pain, Postoperative - psychology Pain, Postoperative - therapy Patient Education as Topic Planification. Prevention (methods). Intervention. Evaluation Postoperative pain professional education Public health. Hygiene Public health. Hygiene-occupational medicine Quality Assurance, Health Care United States |
title | Changing Acute Pain Management to Improve Patient Outcomes: An Educational Approach |
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