Can Consistent Benchmarking within a Standardized Pain Management Concept Decrease Postoperative Pain after Total Hip Arthroplasty? A Prospective Cohort Study including 367 Patients

URN to cite this document:

urn:nbn:de:bvb:355-epub-350657 Copy

DOI to cite this document:

10.5283/epub.35065 Copy

Benditz, Achim ; Greimel, Felix ; Auer, Patrick ; Zeman, Florian ; Göttermann, Antje ; Grifka, Joachim ; Meissner, Winfried ; von Kunow, Frederik

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Date of publication of this fulltext: 18 Jan 2017 14:37

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Details

Item type:	Article
Open Access Type:	Gold (with APC)
Journal or Publication Title:	Journal of Pain Research
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
Volume:	2016
Number of Issue or Book Chapter:	9
Page Range:	pp. 1205-1213
Date:	19 December 2016
Institutions:	Medicine > Lehrstuhl für Orthopädie
Projects (Historical):	Open Access Publizieren (DFG)
Identification Number:	Value Type 10.2147/JPR.S124379 DOI
Keywords:	QUALITY IMPROVEMENT; POSTSURGICAL PAIN; PERCEPTIONS; ANALGESIA; KNOWLEDGE; THERAPY; postoperative pain; total hip arthroplasty; pain management concept; benchmarking
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	35065

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Abstract

Background: The number of total hip replacement surgeries has steadily increased over recent years. Reduction in postoperative pain increases patient satisfaction and enables better mobilization. Thus, pain management needs to be continuously improved. Problems are often caused not only by medical issues but also by organization and hospital structure. The present study shows how the quality of ...

Abstract

Background: The number of total hip replacement surgeries has steadily increased over recent years. Reduction in postoperative pain increases patient satisfaction and enables better mobilization. Thus, pain management needs to be continuously improved. Problems are often caused not only by medical issues but also by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent, benchmarking. Methods: All patients included in the study had undergone total hip arthroplasty (THA). Outcome parameters were analyzed 24 hours after surgery by means of the questionnaires from the German-wide project "Quality Improvement in Postoperative Pain Management" (QUIPS). A pain nurse interviewed patients and continuously assessed outcome quality parameters. A multidisciplinary team of anesthetists, orthopedic surgeons, and nurses implemented a regular procedure of data analysis and internal benchmarking. The health care team was informed of any results, and suggested improvements. Every staff member involved in pain management participated in educational lessons, and a special pain nurse was trained in each ward. Results: From 2014 to 2015, 367 patients were included. The mean maximal pain score 24 hours after surgery was 4.0 (+/- 3.0) on an 11-point numeric rating scale, and patient satisfaction was 9.0 (+/- 1.2). Over time, the maximum pain score decreased (mean 3.0, +/- 2.0), whereas patient satisfaction significantly increased (mean 9.8, +/- 0.4; p<0.05). Among 49 anonymized hospitals, our clinic stayed on first rank in terms of lowest maximum pain and patient satisfaction over the period. Conclusion: Results were already acceptable at the beginning of benchmarking a standardized pain management concept. But regular benchmarking, implementation of feedback mechanisms, and staff education made the pain management concept even more successful. Multidisciplinary teamwork and flexibility in adapting processes seem to be highly important for successful pain management.

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Metadata last modified: 20 Jan 2025 14:46

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