医学
对乙酰氨基酚
横断面研究
急诊科
物理疗法
病历
疼痛管理
疼痛评估
早晨
急诊医学
麻醉
内科学
护理部
病理
作者
Stefan J. Friedrichsdorf,Andrea Postier,Donna Eull,Christian Weidner,Laurie Foster,Michele Gilbert,Fiona Campbell
出处
期刊:Hospital pediatrics
[American Academy of Pediatrics]
日期:2015-01-01
卷期号:5 (1): 18-26
被引量:138
标识
DOI:10.1542/hpeds.2014-0084
摘要
Background and Objectives: Pain in hospitalized children may be underrecognized and undertreated. The objective of this survey was to benchmark pain prevalence, intensity, assessment, and pharmacologic as well as integrative treatment of pain in inpatients in a US children’s hospital. Methods: This was a single-day, cross-sectional survey and electronic medical record review of inpatients who received medical care at a pediatric hospital. Inpatients and emergency department patients were asked to report their experience with pain and its management during the previous 24 hours. Results: Of 279 inpatients listed on the morning census, 178 children and parents were located and completed the survey. Seventy-six percent had experienced pain during the previous 24 hours, usually acute or procedural pain, 12% of whom possibly suffered from chronic pain. Twenty percent of all children surveyed experienced moderate and 30% severe pain in that time period. The worst pain reported by patients was caused by needle pokes (40%), followed by trauma/injury (34%). Children and their parents rated 5 integrative, nonpharmacologic modalities as more effective than medications. Pain assessments and management were documented in the medical record for 58% of patients covering the 24-hour period before the morning census. The most commonly prescribed analgesics were acetaminophen, morphine, and ibuprofen. Conclusions: Despite existing hospital policies and a pain consult team, significant room for improvement in pain management was identified. A hospital-wide, 3-year Lean quality improvement initiative on reducing pain was commenced as a result of this survey.
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