Hdl Handle:
http://hdl.handle.net/10147/207565
Title:
Treating pain in the emergency department.
Authors:
Kuan, Samuel C; Collins, Niamh C; Ryan, John M; Callanan, Ian
Affiliation:
Emergency Department, St Vincent's University Hospital, Elm Park, Dublin 4,, Ireland. skuan02@hotmail.com
Citation:
Eur J Emerg Med. 2010 Feb;17(1):52-5.
Journal:
European journal of emergency medicine : official journal of the European Society, for Emergency Medicine
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207565
DOI:
10.1097/MEJ.0b013e32832dbe3c
PubMed ID:
19512935
Abstract:
The objective of this audit was to evaluate the impact of brief educational intervention on prompt recognition and treatment of pain in the emergency department. The audit was performed on all patients in the emergency department with pain presenting over a 24-h period on three occasions: preintervention, 1-week postintervention and at 4 months. In 151 patients, pain severity scores were mild (24%), moderate (42%), severe (16%) and unknown (18%). Pain score documentation at triage improved from 72 to 94% during the audit (P = 0.01). There was no significant difference in the number of patients treated within 20 min for severe pain (P = 0.076) and within 60 min for moderate pain (P = 0.796) between audits. The likelihood of receiving analgesia within 20 min increased with the patients' pain category (relative risk: 1.8 95% confidence interval: 1.4-2.3). Documentation of pain assessment and the use of pain scores at triage improved after a brief educational intervention but there was no measurable impact on treatment times.
Language:
eng
MeSH:
Analgesics/therapeutic use; Confidence Intervals; Education, Continuing; Emergencies; Emergency Medical Services; *Emergency Service, Hospital; Humans; Medical Audit; Pain/*drug therapy; Pain Measurement; Patient Care Team; Risk; Time Factors; Triage
ISSN:
1473-5695 (Electronic); 0969-9546 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKuan, Samuel Cen_GB
dc.contributor.authorCollins, Niamh Cen_GB
dc.contributor.authorRyan, John Men_GB
dc.contributor.authorCallanan, Ianen_GB
dc.date.accessioned2012-02-01T10:31:31Z-
dc.date.available2012-02-01T10:31:31Z-
dc.date.issued2012-02-01T10:31:31Z-
dc.identifier.citationEur J Emerg Med. 2010 Feb;17(1):52-5.en_GB
dc.identifier.issn1473-5695 (Electronic)en_GB
dc.identifier.issn0969-9546 (Linking)en_GB
dc.identifier.pmid19512935en_GB
dc.identifier.doi10.1097/MEJ.0b013e32832dbe3cen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207565-
dc.description.abstractThe objective of this audit was to evaluate the impact of brief educational intervention on prompt recognition and treatment of pain in the emergency department. The audit was performed on all patients in the emergency department with pain presenting over a 24-h period on three occasions: preintervention, 1-week postintervention and at 4 months. In 151 patients, pain severity scores were mild (24%), moderate (42%), severe (16%) and unknown (18%). Pain score documentation at triage improved from 72 to 94% during the audit (P = 0.01). There was no significant difference in the number of patients treated within 20 min for severe pain (P = 0.076) and within 60 min for moderate pain (P = 0.796) between audits. The likelihood of receiving analgesia within 20 min increased with the patients' pain category (relative risk: 1.8 95% confidence interval: 1.4-2.3). Documentation of pain assessment and the use of pain scores at triage improved after a brief educational intervention but there was no measurable impact on treatment times.en_GB
dc.language.isoengen_GB
dc.subject.meshAnalgesics/therapeutic useen_GB
dc.subject.meshConfidence Intervalsen_GB
dc.subject.meshEducation, Continuingen_GB
dc.subject.meshEmergenciesen_GB
dc.subject.meshEmergency Medical Servicesen_GB
dc.subject.mesh*Emergency Service, Hospitalen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMedical Auditen_GB
dc.subject.meshPain/*drug therapyen_GB
dc.subject.meshPain Measurementen_GB
dc.subject.meshPatient Care Teamen_GB
dc.subject.meshRisken_GB
dc.subject.meshTime Factorsen_GB
dc.subject.meshTriageen_GB
dc.titleTreating pain in the emergency department.en_GB
dc.contributor.departmentEmergency Department, St Vincent's University Hospital, Elm Park, Dublin 4,, Ireland. skuan02@hotmail.comen_GB
dc.identifier.journalEuropean journal of emergency medicine : official journal of the European Society, for Emergency Medicineen_GB
dc.description.provinceLeinster-

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