Impact of an Electronic Pain and Opioid Risk Assessment Program: Are There Improvements in Patient Encounters and Clinic Notes?
| Autor: | Ryan A. Black, K. Zacharoff, Emma Chung, Stephen F. Butler, Molly S. Clark, S. Charity, Robert N. Jamison, Antje M Barreveld |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Pain Risk Assessment 03 medical and health sciences 0302 clinical medicine Documentation Chart Quality of life 030202 anesthesiology Pain assessment Surveys and Questionnaires medicine Electronic Health Records Humans Pain Measurement business.industry Chronic pain General Medicine Middle Aged medicine.disease Analgesics Opioid Substance abuse Anesthesiology and Pain Medicine Mood Physical therapy Female OPIOIDS SUBSTANCE ABUSE & ADDICTIONS SECTION Self Report Neurology (clinical) Risk assessment business 030217 neurology & neurosurgery Program Evaluation |
| Zdroj: | Pain Medicine. 17:2047-2060 |
| ISSN: | 1526-4637 1526-2375 |
| Popis: | Objective. A comprehensive electronic self-report assessment, called PainCAS® (Clinical Assessment System), was developed and implemented in three clinics. PainCAS captures demographic information, pain assessment, quality-of-life variables, and contains validated, electronic versions of screeners for risk of aberrant opioid-related behaviors (the SOAPP and COMM). This investigation sought to determine the impact of PainCAS on documentation of pain and opioid risk evaluations. Exploratory hypotheses examined changes in the content of the patient- provider interaction and any impact on outcome. Methods. In study 1, chart reviews were conducted between pain patients who completed the electronic program (N = 89) and controls who represented standard of care (N = 120). In study 2, two groups of chronic pain patients (treatment-as-usual Control condition = 75, PainCAS Experimental condition = 72) were interviewed after completing their index clinic visit and completed mailed questionnaires 3 months later. Results. Results revealed significantly more key, pain-relevant chart elements documented in charts of patients who completed the PainCAS than those using a traditional paper questionnaire (Study 1 |
| Databáze: | OpenAIRE |
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