Évaluation à court et à moyen terme d'une démarche qualité pour la prise en charge de la douleur postopératoire dans un CHU

Cornet, C.; Empereur, Fabienne; Heck, Michael; Gabriel, Gustavo Teodoro; Commun, N.; Laxenaire, M.C.; Bouaziz, Hervé; Mertès, P. M.

doi:10.1016/j.annfar.2006.12.008

Cited by 6 publications

(1 citation statement)

References 18 publications

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“…Quality management concepts for acute pain therapy have successfully been implemented in numerous hospitals in Europe recently [1–6]. Evidence-based clinical practice guidelines for pain management improve pain management towards higher efficacy, which is on the one hand reflected in improved analgesia, but also in significantly increased patient satisfaction [2, 5, 7–9]. Despite thorough integration of all professions, achievements made by implementation of new standards and processes may however be difficult to sustain and long-lasting effects cannot always be ensured.…”

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confidence: 99%

Implementation and maintenance of a pain management quality assurance program at intensive care units: 360 degree feedback of physicians, nurses and patients

et al. 2018

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BackgroundPain management quality assurance programs (PMQP) have been successfully implemented in numerous hospitals across Europe. We aimed to evaluate the medium-term sustainability of a PMQP implemented at intensive care units (ICUs).MethodsTwo surveys, the first in 2012, immediately after introduction of the PMQP, and the second in 2015, were carried out amongst patients, physicians and nurses. Demographic parameters of all participants were assessed. Patients were asked after their pain levels during ICU stay. Staff members answered a questionnaire regarding familiarity with standards and processes of PMQP and self-perception of their knowledge as well as contentment with interdisciplinary communication.ResultsIn total (2012/2015), 267 (125/142) patients, 113 (65/48) physicians and 510 (264/246) members of the nursing staff participated. Minimum and maximum pain levels of patients did not differ between both surveys. Patients’ tolerance of pain 24 hours before the survey was better (p = 0.023), and vomiting occurred less often (p = 0.037) in 2015. Physicians’ and nurses’ contentment with the own knowledge about pharmacological pain treatment had increased from 2012 to 2015 (p = 0.002 and 0.004). Satisfaction with communication between nurses and physicians was better in 2015 (p<0.001 and p = 0.002). Familiarity with PMQP standards and processes remained stable in both collectives.ConclusionThe implementation of our PMQP achieved a high standard of care, guarantying a high patient and staff member satisfaction. Continuous education, ongoing training, regular updates and implementation of feedback-loops ensure continuity, in some parameters even an increase in knowledge and competencies. This is mirrored in high patient and staff member satisfaction.

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