Use of quality-improvement methods to improve timeliness of analgesic delivery

Pediatrics

Volumn 127, Issue 1, 2011, Pages

  Iyer, Srikant B ^a   Schubert, Charles J ^a   Schoettker, Pamela J ^a   Reeves, Scott D ^a  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

Author keywords

Analgesia; Fractures; Improvement; Pain

Indexed keywords

IBUPROFEN; NARCOTIC ANALGESIC AGENT; PARACETAMOL;

ANALGESIA; ARTICLE; CHILD; CLINICAL DECISION MAKING; EMERGENCY WARD; FEMALE; FRACTURE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HUMAN; LIMB FRACTURE; LONG BONE; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PATIENT SATISFACTION; PRIORITY JOURNAL; SCHOOL CHILD; TOTAL QUALITY MANAGEMENT;

ANALGESIA; ANALGESICS, OPIOID; CHILD; FEMALE; FRACTURES, BONE; HUMANS; MALE; PAIN; QUALITY IMPROVEMENT; TIME FACTORS;

EID: 78650787509     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2010-0632     Document Type: Article

References (19)

1. Cordell WH, Keene KK, Giles BK, Jones JB, Jones JH, Brizendine EJ. The high prevalence of pain in emergency medical care. Am J Emerg Med. 2002;20(3):165-169
2. Johnston CC, Gagnon AJ, Fullerton L, Common C, Ladores M, Forlini S. One-week survey of pain intensity on admission to and discharge from the emergency department: a pilot study. J Emerg Med. 1998;16(3):377-382
3. Tanabe P, Buschman M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs. 1999;25(3):171-177
4. Hostetler MA, Auinger P, Szilagyi PG. Parenteral analgesic and sedative use among ED patients in the United States: combined results from the National Hospital Ambulatory Medical Care Survey (NHAMCS) 1992-1997. Am J Emerg Med. 2002;20(3):139-143
5. Lewis LM, Lasater LC, Brooks CB. Are emergency physicians too stingy with analgesics? South Med J. 1994;87(1):7-9 (Pubitemid 24044282)
6. Petrack EM, Christopher NC, Kriwinsky J. Pain management in the emergency department: patterns of analgesic utilization. Pediatrics. 1997;99(5):711-714 (Pubitemid 27193772)
7. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004;43(4):494-503
8. Todd KH, Ducharme J, Choiniere M, et al; PEMI Study Group. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007;8(6):460-466 (Pubitemid 46843681)
9. Zempsky WT, Cravero JP; American Academy of Pediatrics, Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine. Relief of pain and anxiety in pediatric patients in emergency medical systems. Pediatrics. 2004;114(5):1348-1356
10. Langley GJ, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco, CA: Jossey-Bass; 1996
11. Moen RD, Nolan TW, Provost LP. Quality Improvement Through Planned Experimentation. New York, NY: McGraw-Hill; 1999
12. Institute of Medicine, Committee on Quality Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001
13. Bonello RS, Fletcher CE, Becker WK, et al. An ICU quality improvement collaborative in 9 Department of Veterans Affairs hospitals: reducing ventilator-associated pneumonia and catheter-related bloodstream infection rates. Jt Comm J Qual Patient Saf. 2008;34(11):639-645
14. Campbell M, Fitzpatrick A, Haines A, et al. Framework for design and evaluation of complex interventions to improve health. BMJ. 2000;321(7262):694- 696
15. Jeffries HE, Mason W, Brewer M, et al. Prevention of central venous catheter-associated bloodstream infections in pediatric intensive care units: a performance improvement collaborative. Infect Control Hosp Epidemiol. 2009;30(7):645-651
16. Moen RD. A Guide for Idealized Design. Cambridge, MA: Institute for Healthcare Improvement: 2002
17. Speroff T, O'Connor GT. Study designs for PDSA quality improvement research. Qual Manag Health Care. 2004;13(1):17-32
18. Luria JW, Muething SE, Schoettker PJ, Kotagal UR. Reliability science and patient safety. Pediatr Clin North Am. 2006;53(6):1121-1133
19. Brent AS, Rahman WM, Knarr LL, Harrison JA, Kearns KL, Lindstrom DS. Reducing cycle times in pediatric emergency medicine. Pediatr Emerg Care. 2009;25(5):307-311