ArticleDer Anaesthesist2012
[Process optimization by central control of acute pain therapy: implementation of standardized treatment concepts and central pain management in hospitals].
Article in Der Anaesthesist, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- [Identifying patients with risk for severe pain after ophthalmological surgery].Die Ophthalmologie · 2023Review
- [Resolution of the Federal Joint Committee on the mandatory introduction and implementation of acute pain management concepts-Importance and consequences for ophthalmology].Die Ophthalmologie · 2023Article
- [Critical incidents in acute pain management-A risk analysis of CIRS reports].Der Anaesthesist · 2022Article
- The effectiveness of an oral opioid rescue medication algorithm for postoperative pain management compared to PCIA : A cohort analysis.Der Anaesthesist · 2020Article
- [Management of patients with chronic pain in acute and perioperative medicine : An interdisciplinary challenge].Der Anaesthesist · 2020Review
- [Delegation of medical activities in acute pain therapy].Der Anaesthesist · 2018Review
- Clinical relevance of persistent postoperative pain after total hip replacement - a prospective observational cohort study.Journal of pain research · 2017Article
- [Standardized treatment protocols in acute postoperative pain therapy: analysis of contents of standardized medicinal concepts].Der Anaesthesist · 2015Review
- [Process control in acute pain management. An analysis of the degree of organization of applied standard protocols].Schmerz (Berlin, Germany) · 2014Article
- [Requirements for the organization of pain therapy in hospitals: interdepartmental comparison for pain management from the employees' perspective].Schmerz (Berlin, Germany) · 2013Article
- [Pre-existing pain as comorbidity in postoperative acute pain service].Der Anaesthesist · 2013Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this investigation was to describe the effects of standardization and central control of the processes involved in postoperative pain management from patient and employee perspectives. MATERIALS AND
methodsPatients (n = 282/307) and respective hospital staff (n = 149/119) evaluated the processes, the quality of postoperative pain management and result parameters 3 months before and 12 months after the introduction of standardization of the postoperative pain therapy process using a set of standardized questionnaires.
resultsPain level and the waiting period for an analgesic partially decreased and a higher subjective effectiveness of medication was achieved in patients after the standardization. Patients felt that the pain was taken more seriously and contacted the staff for additional medication more frequently. From an employee viewpoint the quality of care and individual competence and ability to treat pain increased after the introduction of standardization. Pain assessment was improved and employees rated their knowledge and education level as higher than before the intervention. Patients with pre-existing chronic pain and patients with special regional therapy benefited only partially after the introduction and an increase in pain intensity was even observed.
conclusionsThe quality of care was improved by standardization of the postoperative pain management. The legal and practical ability of the nursing stuff to administer pain medication within well-defined margins reduced the dependence on the ward doctor and at the same time patient pain levels. Patients received analgesics more quickly and experienced increased effectiveness. These results should be an incentive to reconsider the importance of the organization of postoperative pain management, because the quality of care with all potential medical and economic advantages, can be easily optimized by such simple mechanisms. They also show that the quality assessment of acute pain and the selection of appropriate indicators need further development.
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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.