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
Hauptverfasser: Dalton, Jo Ann, Blau, William, Lindley, Celeste, Carlson, John, Youngblood, Richard, Greer, Susan M
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container_end_page 287
container_issue 4
container_start_page 277
container_title Journal of pain and symptom management
container_volume 17
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
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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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