Developing a pediatric pain data repository

Carolina Donado1, Kimberly Lobo1, Charles B Berde1,2

  • 1Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

JAMIA Open
|July 2, 2020
PubMed

Insights

A new pediatric pain data repository collects patient-reported outcomes and electronic health records. This system aims to improve pain management by enabling systematic evaluation of treatments and enhancing data collection for better clinical decisions.

Area of Science:

  • Pediatric Pain Management
  • Clinical Data Warehousing
  • Patient-Reported Outcomes

Background:

  • Pediatric pain management lacks systematic evaluation of individualized treatment plans.
  • There is a need for systems to translate clinical discoveries and assess interventions.
  • Improving the collection of patient-centered data beyond routine clinical information is crucial.

Purpose of the Study:

  • To present the development of a pediatric pain data repository.
  • To create a system supporting clinical discoveries and intervention assessment.
  • To enhance the collection of patient-centered data in pediatric pain management.

Main Methods:

  • Developed a custom-built web platform for a pediatric pain data repository.
  • Collected standardized patient-reported outcomes.
  • Integrated repository data with electronic medical record data.

Main Results:

  • Collected data on 2577 pediatric pain patients to date.
  • Anticipates adding approximately 500 new patients annually.
  • The repository integrates longitudinal patient-reported outcomes and automated clinical data abstraction.

Conclusions:

  • The pediatric pain data repository facilitates systematic evaluation of interventions.
  • The system integrates clinical workflows to support medical decision-making.
  • This repository enhances the collection and utilization of patient-centered data for pediatric pain management.

Related Concept Videos

Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.3K
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.3K
Data Collection I01:30

Data Collection I

Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
7.7K
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.9K