Trial reportBMJ (Clinical research ed.)2000
Effect of multifaceted intervention promoting early switch from intravenous to oral acetaminophen for postoperative pain: controlled, prospective, before and after study.
Trial report in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- Effects of a multifaceted intervention to promote the use of intravenous iron sucrose complex instead of ferric carboxymaltose in patients admitted for more than 24 h.European journal of clinical pharmacology · 2021Article
- Acetaminophen in critically ill patients, a therapy in search for big data analytics.Journal of thoracic disease · 2016Article
- Pharmacists' interventions on intravenous to oral conversion for potassium.International journal of clinical pharmacy · 2014Article
- [Evaluation of the appropriateness of pharmacotherapy in patients with high comorbidity].Atencion primaria · 2013Article
- Do clinical guidelines reduce clinician dependent costs?Health research policy and systems · 2011Article
- Nonsteroidal anti-inflammatory drugs for postoperative pain: a focus on children.Paediatric drugs · 2003Review
- Quality improvement reports: a new kind of article. They should allow authors to describe improvement projects so others can learn.BMJ (Clinical research ed.) · 2000Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
problemNeed to improve the efficiency of postoperative pain management by early switching from intravenous to oral acetaminophen.
designImplementation of local guidelines aimed at improving nurses' and doctors' behaviour. A controlled, prospective, before and after study evaluated its impact on appropriateness and costs. BACKGROUND AND
settingOrthopaedic surgery department (intervention) and all other surgical departments (control) of a university hospital. Five anaesthetists and 30 nurses of orthopaedic department participated in study. KEY MEASURES FOR IMPROVEMENT: Reducing number of acetaminophen injections per patient, reducing consumption of acetaminophen injections; cost savings over a one year period. STRATEGIES FOR IMPROVEMENT: Multifaceted intervention included a local consensus process, short educational presentation, poster displayed in all nurses' offices, and feedback of practices six months after implementation of guidelines. EFFECTS OF CHANGE: Mean number of acetaminophen injections per patient decreased from 6.81 before intervention to 2.36 six months after. Monthly consumption of acetaminophen injections per 100 patients decreased by 320.9 (95% confidence interval 192.4 to 449.4) in intervention department and remained unchanged in control departments. Annual cost reduction was projected to be pound 15,100. LESSONS LEARNT: Simple and locally implemented guidelines can improve practices and cut costs. Educational interventions can improve professionals' behaviour when they are based on actual working practices, use interactive techniques such as discussion groups, and are associated with other effective implementation strategies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.