Practice and reflection on the management mode of pain quality control in emergency pre-check and triage

Abstract

Background: Triage decision making is crucial for patients arrived at emergency room as it influences the clinical outcome. Appropriate standard to discriminate patients into different category is challenging. We introduced a suitable emergency preview triage pain model for quality management methods through the pain assessment module. Methods: The pain quality control and management of emergency pre-examination triage were realized by designing the pain assessment module of the intelligent triage system. Clinical nurses completed the assessment of pain score and PQRST pain content through the pain tool in the pain assessment module of the intelligent triage system. The computer system would automatically assess the triage category according to the pain score. Triage nurses determined the priority of emergency care based on the type of care.Results: The pain quality control target monitoring reached 95% of the target management value in ten months. There were two months when the target management value was not reached 95%, June 2019 (94.28%), and December 2019 (94.28%), respectively, slightly lower than the target management value (95%). Conclusions:The application of the pain quality control management mode of emergency preexamination triage unifies the standards of emergency pre-examination triage pain, standardizes the pain assessment and improves the level of emergency pre-examination triage pain management.

If you Can’t Assess It, How Can you Treat It? Improving Pain Management in Sickle Cell Disease

“…33 Expert clinicians in emergency care commonly use the PQRST Pain Assessment (P ¼ Provocation/Palliation; Q ¼ Quality/Quantity; R ¼ Region/Radiation; S ¼ Severity Scale; T ¼ Timing) and this approach is being more widely adopted into standard practice. 34 It is well recognized that the assessment of complex pain conditions such as SCD pain should, at minimum, include some form of multidimensional measurement to understand pain quality and etiology. 33 Unfortunately, no multidimensional pain scale has been validated in SCD.…”