Knowledge translation and process improvement interventions increased pain assessment documentation in a large quaternary paediatric post-anaesthesia care unit

BMJ Open Quality
Daniel StockiFiona A Campbell

Abstract

Due to inadequate pain assessment documentation in our paediatric post-anaesthetic care unit (PACU), we were unable to monitor pain intensity, and target factors contributing to moderate and severe postoperative pain in children. The purpose of this study was to improve pain assessment documentation in PACU through a process improvement intervention and knowledge translation (KT) strategy. The study was set in a PACU within a large university affiliated paediatric hospital. Participants included PACU and Acute Pain Service nursing staff, administrative staff and anaesthesiologists. The Plan-Do-Study-Act method of quality improvement was used. Benchmark data were obtained by chart review of 99 patient medical records prior to interventions. Data included pain assessment documentation (pain intensity score, use of validated pain intensity measure) during PACU stay. Repeat chart audit took place at 4, 5 and 6 months after the intervention. Key informant interviews were conducted to identify barriers to pain assessment documentation. A process improvement was implemented whereby the PACU flowsheets were modified to facilitate pain assessment documentation. KT strategy was implemented to increase awareness of pain assessment documen...Continue Reading

References

Mar 15, 2005·Anesthesiology Clinics of North America·Girish P Joshi, Babatunde O Ogunnaike
Apr 25, 2006·Seminars in Fetal & Neonatal Medicine·Ruth E GrunauJeroen W B Peters
May 16, 2006·Lancet·Henrik KehletClifford J Woolf
Mar 8, 2008·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Colleen J DunwoodyRosemary C Polomano
Feb 28, 2008·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Elsa M TaylorFiona A Campbell
Oct 14, 2009·Clinical Therapeutics·Anna TaddioVibhuti Shah
Oct 6, 2009·AORN Journal·Jacqueline D TrudeauGillian Lauder
May 19, 2012·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Lisa M ZhuAnna Taddio
Jul 19, 2012·Archives of Disease in Childhood·Nina Mary PowerLinda S Franck
Sep 11, 2012·The Journal of Pain : Official Journal of the American Pain Society·Bonnie J StevensUNKNOWN CIHR Team in Children's Pain
Jan 8, 2014·Journal for Specialists in Pediatric Nursing : JSPN·Alison Twycross, G Allen Finley
Jan 31, 2017·The Journal of Pain : Official Journal of the American Pain Society·Jennifer A RabbittsTonya M Palermo

❮ Previous
Next ❯

Software Mentioned

Excel

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.

Related Papers

BMJ Quality Improvement Reports
Sobanakumari JeyapalaNazia Syed
The Annals of Long-term Care : the Official Journal of the American Medical Directors Association
Cary ReidStephanie A Stowell
© 2022 Meta ULC. All rights reserved