Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries

dc.contributor.authorZaslansky, Ruthen_ZA
dc.contributor.authorChapman, C. Richarden_ZA
dc.contributor.authorBaumbach, Philippen_ZA
dc.contributor.authorBytyqi, Ademen_ZA
dc.contributor.authorLopes, Jose M. Castroen_ZA
dc.contributor.authorChetty, Seanen_ZA
dc.contributor.authorKopf, Andreasen_ZA
dc.contributor.authorLi, Lien_ZA
dc.contributor.authorMing, Lim Ernen_ZA
dc.contributor.authorOlawoye, Olayinkaen_ZA
dc.contributor.authorParico, Jane Rizzaen_ZA
dc.contributor.authorSoyannwo, Olaitanen_ZA
dc.contributor.authorStamenkovic, Dusicaen_ZA
dc.contributor.authorWang, Hongweien_ZA
dc.contributor.authorMeissner, Winfrieden_ZA
dc.date.accessioned2021-10-19T13:35:30Z
dc.date.available2021-10-19T13:35:30Z
dc.date.issued2019-01-01
dc.descriptionCITATION: Zaslansky, R. et al. 2019. Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries. PAIN Reports, 4(1). doi:10.1097/PR9.0000000000000705
dc.descriptionThe original publication is available at https://journals.lww.com/painrpts/pages/default.aspx
dc.description.abstractIntroduction: The burden of untreated postoperative pain is high. Objective: This study assessed feasibility of using quality improvement (QI) tools to improve management of perioperative pain in hospitals in multiple developing countries. Methods: The International Pain Registry and Developing Countries working groups, from the International Association for the Study of Pain (IASP), sponsored the project and PAIN OUT, a QI and research network, coordinated it, and provided the research tools. The IASP published a call about the project on its website. Principal investigators (PIs) were responsible for implementing a preintervention and postintervention study in 1 to 2 surgical wards in their hospitals, and they were free to choose the QI intervention. Trained surveyors used standardized and validated web-based tools for collecting findings about perioperative pain management and patient reported outcomes (PROs). Four processes and PROs, independent of surgery type, assessed effectiveness of the interventions. Results: Forty-three providers responded to the call; 13 applications were selected; and PIs from 8 hospitals, in 14 wards, in 7 countries, completed the study. Interventions focused on teaching providers about pain management. Processes improved in 35% and PROs in 37.5% of wards. Conclusions: The project proved useful on multiple levels. It offered PIs a framework and tools to perform QI work and findings to present to colleagues and administration. Management practices and PROs improved on some wards. Interpretation of change proved complex, site-dependent, and related to multiple factors. PAIN OUT gained experience coordinating a multicentre, international QI project. The IASP promoted research, education, and QI work.en_ZA
dc.description.urihttps://journals.lww.com/painrpts/Fulltext/2019/02000/Improving_perioperative_pain_management__a.5.aspx
dc.description.versionPublisher’s version
dc.format.extent9 pagesen_ZA
dc.identifier.citationZaslansky, R. et al. 2019. Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries. PAIN Reports, 4(1). doi:10.1097/PR9.0000000000000705
dc.identifier.issn2471-2531 (online)
dc.identifier.otherdoi:10.1097/PR9.0000000000000705
dc.identifier.urihttp://hdl.handle.net/10019.1/123257
dc.language.isoen_ZAen_ZA
dc.publisherWolters Kluwer Healthen_ZA
dc.rights.holderAuthors retain rightsen_ZA
dc.subjectPerioperative nursingen_ZA
dc.subjectSurgeryen_ZA
dc.subjectQuality improvementen_ZA
dc.subjectPain managementen_ZA
dc.subjectPostoperative careen_ZA
dc.titleImproving perioperative pain management: a preintervention and postintervention study in 7 developing countriesen_ZA
dc.typeArticleen_ZA
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