Impact of a program to improve pain management in an emergency department.

Autor: Santervas YF; Emergency Department, Hospital Universitari de Sant Joan de Déu, Barcelona, Spain., Cotanda CP, Carretero LM, Garcia VL, Sainz de la Maza VT, Cubells CL
Jazyk: angličtina
Zdroj: European journal of emergency medicine : official journal of the European Society for Emergency Medicine [Eur J Emerg Med] 2010 Apr; Vol. 17 (2), pp. 110-2.
DOI: 10.1097/MEJ.0b013e32832e09a6
Abstrakt: The objective of this study is to assess the impact of various actions in the management of pain in a pediatric hospital emergency department. This is an observational study, preaction (phase 1) and postaction (phase 2), with two cohorts of patients diagnosed with abdominal pain, chest pain, and severe headache. Between the two phases, various actions were carried out (distribution of pain assessment scales and a new guide for the management of pain, and the holding of clinical training sessions). Three hundred patients were included in the study, with an average age of 9 years and average evolution time of pain of 20 h. Pain assessment in phases 1 and 2 was 30 and 99.3%, respectively. Analgesics were administered to 23% (phase 1) and 38.6% (phase 2) of the patients with pain. No side-effects from the analgesics given were recorded. In conclusion, the various actions carried out yielded an improvement in pain management, especially in its assessment.
Databáze: MEDLINE