Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries
dc.contributor.author | Zaslansky, Ruth | en_ZA |
dc.contributor.author | Chapman, C. Richard | en_ZA |
dc.contributor.author | Baumbach, Philipp | en_ZA |
dc.contributor.author | Bytyqi, Adem | en_ZA |
dc.contributor.author | Lopes, Jose M. Castro | en_ZA |
dc.contributor.author | Chetty, Sean | en_ZA |
dc.contributor.author | Kopf, Andreas | en_ZA |
dc.contributor.author | Li, Li | en_ZA |
dc.contributor.author | Ming, Lim Ern | en_ZA |
dc.contributor.author | Olawoye, Olayinka | en_ZA |
dc.contributor.author | Parico, Jane Rizza | en_ZA |
dc.contributor.author | Soyannwo, Olaitan | en_ZA |
dc.contributor.author | Stamenkovic, Dusica | en_ZA |
dc.contributor.author | Wang, Hongwei | en_ZA |
dc.contributor.author | Meissner, Winfried | en_ZA |
dc.date.accessioned | 2021-10-19T13:35:30Z | |
dc.date.available | 2021-10-19T13:35:30Z | |
dc.date.issued | 2019-01-01 | |
dc.description | CITATION: 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.description | The original publication is available at https://journals.lww.com/painrpts/pages/default.aspx | |
dc.description.abstract | Introduction: 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.uri | https://journals.lww.com/painrpts/Fulltext/2019/02000/Improving_perioperative_pain_management__a.5.aspx | |
dc.description.version | Publisher’s version | |
dc.format.extent | 9 pages | en_ZA |
dc.identifier.citation | 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.identifier.issn | 2471-2531 (online) | |
dc.identifier.other | doi:10.1097/PR9.0000000000000705 | |
dc.identifier.uri | http://hdl.handle.net/10019.1/123257 | |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | Wolters Kluwer Health | en_ZA |
dc.rights.holder | Authors retain rights | en_ZA |
dc.subject | Perioperative nursing | en_ZA |
dc.subject | Surgery | en_ZA |
dc.subject | Quality improvement | en_ZA |
dc.subject | Pain management | en_ZA |
dc.subject | Postoperative care | en_ZA |
dc.title | Improving perioperative pain management: a preintervention and postintervention study in 7 developing countries | en_ZA |
dc.type | Article | en_ZA |