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A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers
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Multidisciplinary approach to improving pain management.

Laura Martin1, Mary Jo Kelly, Kristin Roosa

  • 1Harborview Medical Center, Seattle, WA 98104, USA. lm1@uw.edu

Critical Care Nursing Quarterly
|June 7, 2012
PubMed
Summary
This summary is machine-generated.

Improving surgical patient pain management is crucial. A best practice group enhanced pain scores from the 1st to the 90th percentile using a new communication plan and surgeon collaboration.

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Area of Science:

  • Surgical Patient Care
  • Pain Management
  • Healthcare Quality Improvement

Background:

  • Trauma surgical units often face challenges in managing patient pain effectively.
  • Low Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) pain scores indicated significant patient dissatisfaction.
  • Patients reported particular dissatisfaction with pain management during wound care procedures.

Purpose of the Study:

  • To improve the patient pain experience on a trauma surgical unit.
  • To address the root causes of low HCAHPS pain scores and patient complaints.
  • To implement evidence-based practices for enhanced pain management in surgical settings.

Main Methods:

  • Establishment of a multidisciplinary best practice group including nurses, educators, pain specialists, and trauma surgeons.
  • Analysis of HCAHPS scores and patient feedback to identify pain management deficits.
  • Development and implementation of a staff teaching tool with a patient-specific pain communication plan.
  • Collaborative problem-solving with trauma surgeons to optimize pain management during wound care.

Main Results:

  • Significant improvement in HCAHPS pain scores, moving from the 1st percentile to the 90th percentile within five months.
  • Enhanced patient satisfaction with pain management, particularly during wound care.
  • Successful implementation of a collaborative approach involving various healthcare professionals.

Conclusions:

  • A multidisciplinary best practice group can effectively improve surgical patient pain management.
  • Targeted interventions, including enhanced communication and collaborative problem-solving, lead to substantial gains in patient-reported pain outcomes.
  • The initiative demonstrated a rapid and significant positive impact on patient experience and hospital quality metrics.