Did postoperative pain management improve between 2013 and 2017?

Introduction

Postoperative pain management (POPM) is a critical aspect of patient care following surgery. Effective management of postoperative pain can lead to better patient outcomes, including reduced pain intensity, earlier mobilization, and shorter hospital stays. This synthesis examines whether postoperative pain management improved between 2013 and 2017 based on data from multiple research studies.

Key Insights

Improved Preoperative Planning and Documentation:
- There was a significant increase in preoperative discussions about pain management and documentation of patients at high risk for severe postoperative pain from 2013 to 2017.
- Implementation of educational programs for nurses led to better knowledge and attitudes towards pain management, which improved documentation and patient care.
Increased Use of Preemptive and Balanced Analgesia:
- The use of preemptive analgesia increased significantly from 3% in 2013 to 54% in 2017, indicating a proactive approach to pain management.
- The introduction of balanced analgesia and preemptive analgesia protocols contributed to better pain management outcomes.
Reduction in Pain Intensity and Improved Patient Outcomes:
- Studies showed a reduction in pain intensity on ambulation and overall pain scores following the implementation of evidence-based pain management programs .
- Patients reported fewer disturbances in sleep, walking, and general activities post-implementation of comprehensive pain management programs.
Multidisciplinary Approaches and Continuous Quality Improvement:
- Multidisciplinary teams, including anesthetists, surgeons, nurses, and pharmacists, played a crucial role in improving pain management through continuous quality improvement and benchmarking .
- Regular feedback and benchmarking of pain management practices led to sustained improvements in pain outcomes .

Conclusion

Between 2013 and 2017, postoperative pain management saw significant improvements. Enhanced preoperative planning, increased use of preemptive and balanced analgesia, and the implementation of multidisciplinary and continuous quality improvement approaches contributed to better pain management outcomes. These changes resulted in reduced pain intensity, improved patient satisfaction, and better overall postoperative recovery.

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Did postoperative pain management improve between 2013 and 2017?

Summary

Consensus Meter

Introduction

Key Insights

Conclusion

Sources and full results

Surveys of post-operative pain management in a teaching hospital in Rwanda — 2013 and 2017

Postoperative pain management in a Rwandan teaching hospital improved from 2013 to 2017, with increased preoperative discussion of pain management options and preemptive analgesia use.

The effect of postoperative pain management program on improving nurses' knowledge and attitudes toward pain.

Implementing a postoperative pain management program significantly improved nurses' knowledge and attitudes towards pain, leading to increased patient care quality.

The pain experience of post surgical patients following the implementation of an evidence-based approach.

Implementing an evidence-based postoperative pain management program led to lower pain scores, fewer disturbances in sleep, walking, and general activities, and less belief that good patients avoid talking about pain.

Benchmarking as a tool of continuous quality improvement in postoperative pain management

Benchmarking-based continuous quality improvement in postoperative pain management successfully reduced pain intensity on ambulation and increased non-opioid analgesia use.

Quality improvement in postoperative pain management: results from the QUIPS project.

QUIPS project shows that measuring postoperative pain management outcomes can lead to improved care, with traumatological, orthopedic, and laparoscopic appendectomy operations being the most painful.

[A concept for the improvement of postoperative pain management].

The new postoperative pain management concept significantly improves pain treatment quality and satisfaction for patients, nurses, and physicians, but its impact on reduced morbidity and mortality remains unclear.

Reducing pain in patients undergoing cardiac surgery after implementation of a quality improvement postoperative pain treatment program.

Implementing a quality improvement postoperative pain treatment program in cardiac surgery patients led to decreased pain intensity and improved sleep quality.

Postoperative Pain Management

Effective postoperative pain management, including opioids and stress management, can lead to better outcomes and earlier dismissals in complex oncologic procedures.

Current issues in postoperative pain management.

Postoperative pain management needs improvement, with regional anaesthetic techniques being the most effective and procedure-specific recommendations needed to enhance recovery after surgery.

Institutionalizing pain management: the Post-Operative Pain Management Quality Improvement Project.

The Post-Operative Pain Management Quality Improvement Project significantly improved hospital structures and practices, but did not significantly impact patient pain outcomes.

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