Management of acute pain in the postoperative setting: the importance of quality indicators
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- dc.contributor.author Meissner, Windfriedca
- dc.contributor.author Huygen, Frankca
- dc.contributor.author Neugebauer, Edmund A.M.ca
- dc.contributor.author Osterbrink, Jürgenca
- dc.contributor.author Benhamou, Danca
- dc.contributor.author Betteridge, Neilca
- dc.contributor.author Coluzzi, Flaminiaca
- dc.contributor.author Andrés, José deca
- dc.contributor.author Fawcett, Williamca
- dc.contributor.author Fletcher, Dominiqueca
- dc.contributor.author Kalso, Eijaca
- dc.contributor.author Kehlet, Henrikca
- dc.contributor.author Morlion, Bartca
- dc.contributor.author Montes Pérez, Antonioca
- dc.contributor.author Pergolizzi, Josephca
- dc.contributor.author Schäfer, Michaelca
- dc.date.accessioned 2018-05-10T08:16:35Z
- dc.date.issued 2018
- dc.description.abstract Despite the introduction of evidence-based recommendations for postoperative pain management (POPM), the consensus is that pain control remains suboptimal. Barriers to achieving patient-satisfactory analgesia include deficient knowledge regarding POPM among staff, lack of instructions, insufficient pain assessments and sub-optimal treatment. Effective monitoring of POPM is essential to enable policy makers and healthcare providers to improve the quality of care. Quality indicators (QIs) are quantitative measures of clinical practice that can monitor, evaluate and guide the quality of care provided to patients. QIs can be used to assess various aspects relating to the care process and they have proven useful in improving health outcomes in diseases such as myocardial infarction. In this commentary we critically analyze the evidence regarding the use of QIs in acute POPM based upon the experience of pain specialists from Europe and the USA who are members of the Change Pain Advisory Board. We also undertook a literature review to see what has been published on QIs in acute pain with the goal of assessing which QIs have been developed and used, and which ones have been successful/unsuccessful. In the hospital sector the development and implementation of QIs is complex. The nature of POPM requires a highly trained, multidisciplinary team and it is at this level that major improvements can be made. Greater involvement of patients regarding pain management is also seen as a priority area for improving clinical outcomes. Changes in structure and processes to deliver high-level quality care need to be regularly audited to ensure translation into better outcomes. QIs can help drive this process by providing an indicator of current levels of performance. In addition, outcomes QIs can be used to benchmark levels of performance between different healthcare providers.
- dc.format.mimetype application/pdf
- dc.identifier.citation Meissner W, Huygen F, Neugebauer EAM, Osterbrink J, Benhamou D, Betteridge N. et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin. 2018 Jan;34(1):187-196. DOI: 10.1080/03007995.2017.1391081
- dc.identifier.doi http://dx.doi.org/10.1080/03007995.2017.1391081
- dc.identifier.issn 0300-7995
- dc.identifier.uri http://hdl.handle.net/10230/34606
- dc.language.iso eng
- dc.publisher Taylor & Francis (Routledge)ca
- dc.relation.ispartof Current Medical Research and Opinion. 2018 Jan;34(1):187-96
- dc.rights © Taylor & Francis. This is an electronic version of an article published in Meissner W, Huygen F, Neugebauer EAM, Osterbrink J, Benhamou D, Betteridge N. et al. Management of acute pain in the postoperative setting: the importance of quality indicators. Curr Med Res Opin. 2018 Jan;34(1):187-196. Curr Med Res Opin is available online at: https://www.tandfonline.com/doi/full/10.1080/03007995.2017.1391081
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Analgesia
- dc.subject.keyword Pain management
- dc.subject.keyword Post-operative acute pain
- dc.subject.keyword Quality indicators
- dc.subject.keyword Quality management
- dc.subject.other Dolor -- Tractament
- dc.subject.other Dolor postoperatori
- dc.title Management of acute pain in the postoperative setting: the importance of quality indicatorsca
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion