Pain management in Australian emergency departments: Current practice, enablers, barriers and future directions

EMA - Emergency Medicine Australasia

Volumn 24, Issue 2, 2012, Pages 136-143

  Bennetts, Scott ^a   Campbell Brophy, Evylyn ^b   Huckson, Susan ^a   Doherty, Steven ^c,d  

^a NATIONAL HEALTH AND MEDICAL RESEARCH COUNCIL   (Australia)

^b Campbell Research and Consulting   (Australia)

^c UNIVERSITY OF NEWCASTLE   (Australia)

^d Tamworth Base Hospital   (Australia)

Author keywords

Analgesia; Attitude of health personnel; Emergency service; Evidence based medicine; Pain; Quality assurance

Indexed keywords

ANALGESIA; ARTICLE; AUSTRALIA; CLINICAL ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; EMERGENCY WARD; EVIDENCE BASED PRACTICE; HOSPITAL; HUMAN; INTERVIEW; MEDICAL STAFF; PARTICIPANT OBSERVATION; PRIORITY JOURNAL; TIME;

AUSTRALIA; EMERGENCY SERVICE, HOSPITAL; EVIDENCE-BASED PRACTICE; FOCUS GROUPS; HUMANS; LEADERSHIP; MEDICAL STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; PAIN MANAGEMENT; PRACTICE GUIDELINES AS TOPIC; QUALITY ASSURANCE, HEALTH CARE; QUESTIONNAIRES;

EID: 84859430033     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2011.01499.x     Document Type: Article

References (28)

1. Karwowski-Soulie F, Lessenot-Tcherny S, Lamarche-Vadel A etal. Pain in an emergency department: an audit. Eur. J. Emerg. Med. 2006; 13: 218-24.
2. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann. Emerg. Med. 2004; 43: 494-503.
3. Mitchell R, Kelly AM, Kerr D. Does emergency department workload adversely influence timely analgesia? Emerg. Med. Australas. 2009; 21: 52-8.
4. Todd KH, Ducharme J, Choiniere M etal. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J. Pain 2007; 8: 460-6.
5. National Institute of Clinical Studies. National Emergency Department Collaborative Report. Melbourne: National Institute of Clinical Studies, 2004.
6. Huckson S, Davies J. Closing evidence to practice gaps in emergency care: the Australian experience. Acad. Emerg. Med. 2007; 14: 1058-63.
7. Fry M, Bennetts S, Huckson S. An Australian audit of ED pain management patterns. J. Emerg. Nurs. 2011; 37: 269-74.
8. Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine. Acute Pain Management: Scientific Evidence, 2nd edn. Melbourne: ANZCA, 2005.
9. van Bokhoven MA, Kok G, van der Weijden T. Designing a quality improvement intervention: a systematic approach. Qual. Saf. Health Care 2003; 12: 215-20.
10. Bosch M, van der Weijden T, Wensing M, Grol R. Tailoring quality improvement interventions to identified barriers: a multiple case analysis. J. Eval. Clin. Pract. 2007; 13: 161-8.
11. Baker R, Camosso-Stefinovic J, Gillies C etal. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst. Rev. 2010; (3): CD005470.
12. Rabiee F. Focus-group interview and data analysis [Review]. Proc. Nutr. Soc. 2004; 63: 655-60.
13. Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q. 2001; 79: 281-315.
14. National Health and Medical Research Council (Australia). National Statement on Ethical Conduct in Human Research. Canberra: National Health and Medical Research Council (Australia), 2007.
15. Wilder-Smith OH, Mohrle JJ, Martin NC. Acute pain management after surgery or in the emergency room in Switzerland: a comparative survey of Swiss anaesthesiologists and surgeons. Eur. J. Pain 2002; 6: 189-201.
16. Pines JM, Hollander JE. Emergency department crowding is associated with poor care for patients with severe pain. Ann. Emerg. Med. 2008; 51: 1-5.
17. Motov SM, Khan AN. Problems and barriers of pain management in the emergency department: are we ever going to get better? J. Pain Res. 2008; 2: 5-11.
18. Duignan M, Dunn V. Perceived barriers to pain management. Emerg. Nurse 2009; 16 (9): 31-5.
19. Australian Council on Healthcare Standards. Australasian Clinical Indicator Report: 2001-2009; Determining the Potential to Improve Quality of Care, 11th Edition. Sydney: ACHS, 2010.
20. Heins JK, Heins A, Grammas M, Costello M, Huang K, Mishra S. Disparities in analgesia and opioid prescribing practices for patients with musculoskeletal pain in the emergency department. J. Emerg. Nurs. 2006; 32: 219-24.
21. Arendts G, Fry M. Factors associated with delay to opiate analgesia in emergency departments. J. Pain 2006; 7: 682-6.
22. Brown JC, Klein EJ, Lewis CW, Johnston BD, Cummings P. Emergency department analgesia for fracture pain. Ann. Emerg. Med. 2003; 42: 197-205.
23. Jones JS, Johnson K, McNinch M. Age as a risk factor for inadequate emergency department analgesia. Am. J. Emerg. Med. 1996; 14: 157-60.
24. Paulson M 3rd, Dekker AH. Healthcare disparities in pain management. J. Am. Osteopath. Assoc. 2005; 105 (6 Suppl 3): S14-17.
25. Todd KH, Deaton C, D'Adamo AP, Goe L. Ethnicity and analgesic practice. Ann. Emerg. Med. 2000; 35: 11-16.
26. Chen EH, Shofer FS, Dean AJ etal. Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain. Acad. Emerg. Med. 2008; 15: 414-18.
27. Eccleston C. Role of psychology in pain management. Br. J. Anaesth. 2001; 87: 144-52.
28. Silka PA, Roth MM, Geiderman JM. Patterns of analgesic use in trauma patients in the ED. Am. J. Emerg. Med. 2002; 20: 298-302.