Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries

Pain Reports
Ruth ZaslanskyWinfried Meissner

Abstract

The burden of untreated postoperative pain is high. This study assessed feasibility of using quality improvement (QI) tools to improve management of perioperative pain in hospitals in multiple developing countries. The International Pain Registry and Developing Countries working groups, from the International Association for the Study of Pain (IASP), sponsored the project and PAIN OUT, a QI and research network, coordinated it, and provided the research tools. The IASP published a call about the project on its website. Principal investigators (PIs) were responsible for implementing a preintervention and postintervention study in 1 to 2 surgical wards in their hospitals, and they were free to choose the QI intervention. Trained surveyors used standardized and validated web-based tools for collecting findings about perioperative pain management and patient reported outcomes (PROs). Four processes and PROs, independent of surgery type, assessed effectiveness of the interventions. Forty-three providers responded to the call; 13 applications were selected; and PIs from 8 hospitals, in 14 wards, in 7 countries, completed the study. Interventions focused on teaching providers about pain management. Processes improved in 35% and PROs i...Continue Reading

References

Mar 27, 2002·Regional Anesthesia and Pain Medicine·Narinder Rawal
Oct 29, 2002·Anesthesia and Analgesia·Mads U WernerHenrik Kehlet
Jun 25, 2003·Journal of Health Services Research & Policy·Tim ScottHuw Davies
Aug 23, 2003·Anesthesia and Analgesia·Ulrike M Stamer, Frank Stüber
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Jul 1, 2006·Journal of General Internal Medicine·Richard A MularskiLinda Ganzini
Dec 8, 2006·Implementation Science : IS·Sharon Hakkennes, Sally Green
Jun 21, 2007·Anesthesia and Analgesia·Frank BrennanMichael Cousins
Apr 18, 2008·Pain·Dominique FletcherUNKNOWN Pain and Regional Anesthesia Committee of the French Anesthesia and Intensive Care Society (SFAR)
Jul 26, 2008·Annual Review of Psychology·John W Graham
Mar 29, 2011·Pain·Henrik Kehlet, Jørgen B Dahl
Jan 3, 2013·Pain Practice : the Official Journal of World Institute of Pain·Rod S TaylorUNKNOWN PAIN-OUT investigators
Sep 12, 2013·The Journal of Pain : Official Journal of the American Pain Society·Judith RothaugWinfried Meissner
Nov 19, 2013·Current Medical Research and Opinion·Tong J GanJeffrey L Apfelbaum
Jul 18, 2014·PloS One·Tewodros Eyob WoldehaimanotMirkuzie Woldie Kerie
Aug 19, 2014·European Journal of Pain : EJP·R ZaslanskyW Meissner
Sep 12, 2015·Current Medical Research and Opinion·Winfried MeissnerJoseph Pergolizzi
Oct 29, 2015·European Journal of Anaesthesiology·Narinder Rawal
Mar 18, 2017·Circulation. Cardiovascular Quality and Outcomes·Elizabeth H BradleyLeslie A Curry

❮ Previous
Next ❯

Citations

Oct 12, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Liangyu FangJingfeng Jin

❮ Previous
Next ❯

Clinical Trials Mentioned

NCT02083835

Software Mentioned

Psych R - package
IPO
SQUIRE
PAIN
PAIN OUT
OUT

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.