A standardized pain management protocol improves timeliness of analgesia among emergency department patients with renal colic

Quality Management in Health Care

Volumn 20, Issue 1, 2011, Pages 30-36

  Steinberg, Peter L ^a   Nangia, Ajay K ^a   Curtis, Kevin ^a  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

analgesia; clinical protocols; emergency department; nephrolithiasis; pain; quality

Indexed keywords

KETOROLAC; MORPHINE; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT;

ADULT; ANALGESIA; ARTICLE; CLINICAL PROTOCOL; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; KIDNEY COLIC; MALE; METHODOLOGY; MIDDLE AGED; PAIN; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; STANDARD; TREATMENT OUTCOME;

ADULT; ANALGESIA; ANALGESICS, OPIOID; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; CLINICAL PROTOCOLS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; KETOROLAC; MALE; MIDDLE AGED; MORPHINE; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PAIN; PROSPECTIVE STUDIES; RENAL COLIC; RETROSPECTIVE STUDIES;

EID: 78651467248     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/QMH.0b013e31820429d9     Document Type: Article

References (14)

1. Pearle MS, Calhoun E, Curhan GC. Urolithiasis. In: Litwin MS, Saigal CS, eds. Urologic Diseases in America. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases.Washington, DC: US Government Printing Office; 2007:283-317. NIH Publication No. 07-5512.
2. Davenport K, Timoney AG, Keeley FX. Conventional and alternative methods for providing analgesia in renal colic. BJU Int. 2005;95:297-300.
3. Holdgate A, Pollock T. Systematic review of the relative efficacy of non-steroidal anti-inflammatory drugs and opioids in the treatment of acute renal colic. BMJ. 2004;328:1401.
4. Larkin GL, Peacock WF IV, Pearl SM, Blair GA, D'Amico F. Efficacy of ketorolac tromethamine versus meperidine in the ED treatment of acute renal colic.AmJ Emerg Med. 1999;17:6-10.
5. Safdar G, Degutis LG, Landry K, Vedere SR, Moscovitz HC, D'Onofrio G. Intravenous morphine plus ketorolac is superior to either drug alone for treatment of acute renal colic. Ann Emerg Med. 2006;48:173-181, 181.e1.
6. The Joint Commission. Improving the Quality of Pain Management Through Measurement and Action. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2003.
7. Wilson JE, Pendleton JM. Oligoanalgesia in the emergency department. Am J Emerg Med. 1989;7(6):620-623.
8. Hodgkins M, Albert D, Daltroy L. Comparing patients' and their physicians' assessment of pains. Pain. 1985;23:273-277.
9. Fosnocht DE, Swanson ER, Bossart P. Patient expectations for pain medication delivery. Am J Emerg Med. 2001;19:399-402.
10. Holdgate A, Pollock T. Nonsteroidal anti-inflammatory drugs (NSAIDs) versus opioids for acute renal colic. Cochrane Database Syst Rev. 2004;1:CD004137.
11. Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38:633-638.
12. Todd KH. Clinical versus statistical significance in the assessment of pain relief. Ann Emerg Med. 1996;27:439-441.
13. Todd KH, Funk JP. The minimum clinically important difference in physician-assigned visual analog pain scores. Acad Emerg Med. 1996;3:142-146.
14. Evans E, Turley N, Robinson N, Clancy M. Randomised controlled trial of patient controlled analgesia compared with nurse delivered analgesia in an emergency department. Emerg Med J. 2005;22:25-29.