Quality Improvement in Postoperative Pain Management – Results From the QUIPS Project

Meißner, Winfried; Mescha, Swantje; Rothaug, J.; Zwacka, S.; Goettermann, A.; Ulrich, Kristin; Schleppers, A.

doi:10.3238/arztebl.2008.0865

Cited by 91 publications

(130 citation statements)

References 16 publications

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“…Heute spielt Deutschland eine füh-rende Rolle in der Akutschmerzmedizin. Dies spiegelt sich im Aufbau des ersten großen Akutschmerzregisters mit Benchmarkfunktion für die einzelnen teilnehmenden Kliniken wider [Qualitätsverbes-serung in der postoperativen Schmerztherapie (QUIPS); [3]], das zu einem weltweit etablierten Projekt (Pain-Out) erweitert werden konnte. Zudem hat die grundlagenwissenschaftliche, klinische und translationale Forschung in den letzten Jahrzehnten deutlich zugenommen.…”

Section: Entwicklung Der Klinischen Schmerzmedizinunclassified

Schmerzmedizin gestern – heute – morgen

Azad¹,

Pogatzki-Zahn

Radbruch

et al. 2015

Schmerz

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In diesem Jahr feiert die Deutsche Schmerzgesellschaft ihr 40-jähriges Bestehen. Dieses Jubiläum haben wir zum Anlass genommen, eine Sonderausgabe zum derzeitigen Stand der Schmerzmedizin in Deutschland zu gestalten. Wir möchten auf die letzten 40 Jahre zurückblicken, um zu verstehen, welche Wege und Errungenschaften zum Status quo geführt haben. Und wir möchten nach vorn blicken, um wesentliche Lücken zu identifizieren, die in naher Zukunft bearbeitet und behoben werden sollten.

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Section: Entwicklung Der Klinischen Schmerzmedizinunclassified

Schmerzmedizin gestern – heute – morgen

Azad¹,

Pogatzki-Zahn

Radbruch

et al. 2015

Schmerz

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“…Orchidopexy was also unexpectedly associated with higher pain scores and more prolonged pain [17 && ,18] than -for instance -herniotomy. Pain after appendectomy is comparable to tonsillectomy, with the laparoscopic approach being at least as painful as the open procedure [14].…”

Section: Andandmentioning

confidence: 99%

“…In light of this, a webbased Germany-wide outcome-oriented project called Quality Improvement in Postoperative Pain Management (QUIPS) was developed in 2005, consisting of standardized data acquisition and an analysis of quality and process indicators [14,51]. QUIPS has clearly shown that outcomes in postoperative pain therapy are measurable and comparable as well as leading to improved care.…”

Section: Pediatric Postoperative Quality Analysismentioning

confidence: 99%

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What's new in pediatric acute pain therapy?

Schultz-Machata

Weiß

Becke

2014

Current Opinion in Anaesthesiology

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PURPOSE OF REVIEW This review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept. RECENT FINDINGS A multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of sideeffects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniquesunder ultrasound guidance -should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief. SUMMARY Safe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies. Purpose of reviewThis review highlights the current trends of efficient and safe perioperative pediatric pain therapy in the context of a multimodal pain therapy concept. Recent findingsA multimodal pain therapy concept should be easy to apply and safe regarding the occurrence of side-effects. The administration of nonopioid analgesics should be obligatory, regional anesthesia techniques -under ultrasound guidance -should be performed whenever possible, opioids should be given immediately and sufficiently whenever necessary, the administration of co-analgesics like lidocaine, dexamethasone or ketamine should be considered, and most importantly, each pain therapy should be performed according to pain assessment and long enough until adequate pain relief. SummarySafe and simple pediatric pain management in the perioperative period combines not only easy to apply and safe stepwise pain therapy itself, but also adequate pain assessment and the implementation of continuous hospital quality improvement strategies.

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“…Quality improvement initiatives should use outcome instead of structural and process parameters. The concept is transferable to other fields of medicine [19].…”

Section: Quips: Quality Improvement In Postoperative Pain Managementmentioning

confidence: 99%

Pain free hospital – availability (24 hours) of anesthesiologists

Eldor¹,

Kotlovker²,

Orkin³

2013

J Anesthesiol Clin Sci

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Abstract"Pain Free Hospital" should be a new Anesthesiologist Domain. It is because the anesthesiologist is the most knowledgeable physician in pain control during the operation as well as in the recovery room. There is no reason why to stop this pain treatment in the wards. As mentioned by the American Society of Anesthesiologists Task Force on Acute Pain Management: "Availability (24 hours) of anesthesiologists". A profound adjustment in the "pain free hospital" project is needed based on the availability of an anesthesiologist around the clock and not relying on other physicians or nurses.

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Quality Improvement in Postoperative Pain Management – Results From the QUIPS Project

Cited by 91 publications

References 16 publications

Schmerzmedizin gestern – heute – morgen

Schmerzmedizin gestern – heute – morgen

What's new in pediatric acute pain therapy?

Pain free hospital – availability (24 hours) of anesthesiologists

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