Five acute care facilities within the organization are participating in this performance improvement program, which is focused on elective total joints and colectomy. Nationally, approximately 30 hospitals are in the cohort, allowing an opportunity to learn from others. In order to establish a baseline, an interdisciplinary team answered a questionnaire that encompassed all aspects of operative pain management. The performance improvement initiative includes eight months of data collection to measure compliance on a bundle of best practices aimed to improve the safety and effectiveness of operative pain management practices within the organization. Measurable results include consistent use of multimodal pain management 95 percent , high compliance with apnea screening prior to procedure 80 percent , qshift assessment of pain score percent , involvement of patient in pain management goal setting 90 percent. Chart audits helped to identify an opportunity to improve discharge education materials to meet all bundle elements, which is in the process of implementation.
Basics of Pediatric Anesthesia/Pediatric Anesthesia Article of the Day
Sample Research Paper on Post-operative Pain Management
Effective management of postoperative pain is a primary concern for health care practitioners and patients undergoing surgical procedures. Undertreatment of postoperative pain can result in negative physiologic and psychologic outcomes for the patient. There are a limited number of guidelines available to assist practitioners in the treatment of acute pain, with even fewer available for treatment of postoperative pain. Most guidelines focus on pain management by anesthesiologists in the perioperative setting. This article addresses the management of acute postoperative pain with a focus on patient assessment, commonly used medications, routes of administration, and patient follow-up.
Following the procedure, the plaintiff was treated in the post-anesthesia care unit where an epidural catheter was inserted for post-operative pain management. Following one episode of hypotension which was treated successfully with ephedrine, the plaintiff was discharged to an inpatient medical-surgical care nursing unit with the epidural in place. Although the defendant nurse customarily worked on the post-acute critical care unit, she had been re-assigned to the medical-surgical nursing care unit.
Background: Previous national survey research has shown significant deficits in routine postoperative pain management in the UK. This study used an organizational change perspective to explore in detail the organizational challenges faced by three acute pain services in improving postoperative pain management. Methods: Case studies were conducted comprising documentary review and semi-structured interviews 71 with anaesthetists, surgeons, nurses, other health professionals, and managers working in and around three broadly typical acute pain services. Results: Although the precise details differed to some degree, the three acute pain services all faced the same broad range of inter-related challenges identified in the organizational change literature i.