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Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries.

Ruth Zaslansky1, C Richard Chapman2, Philipp Baumbach1

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Quality improvement tools improved postoperative pain management in developing countries. The project demonstrated feasibility and highlighted the need for tailored interventions to enhance patient-reported outcomes and provider practices.

Keywords:
PainPerioperative pain managementQuality improvementSurgery

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Area of Science:

  • Global Health
  • Pain Management
  • Quality Improvement Science

Background:

  • Untreated postoperative pain presents a significant global health challenge.
  • Effective pain management is crucial for patient recovery and well-being.

Purpose of the Study:

  • To assess the feasibility of implementing quality improvement (QI) tools for perioperative pain management in developing countries.
  • To evaluate the impact of QI interventions on pain management processes and patient-reported outcomes (PROs).

Main Methods:

  • A multicenter project coordinated by PAIN OUT, involving the International Association for the Study of Pain (IASP).
  • Principal investigators (PIs) in 8 hospitals across 7 countries implemented QI interventions in surgical wards.
  • Standardized web-based tools collected data on perioperative pain management and PROs.

Main Results:

  • Interventions primarily focused on educating providers about pain management strategies.
  • Improvements in pain management processes were observed in 35% of participating wards.
  • Patient-reported outcomes (PROs) showed improvement in 37.5% of wards.

Conclusions:

  • The project provided a valuable framework and tools for QI initiatives in pain management.
  • Observed improvements in management practices and PROs were complex and varied by site.
  • The initiative enhanced international collaboration in QI research and pain management education.