1 / 18

Project Team

Pilot of a Toolkit for the Implementation of the PAINLESS Pathway: Improving Pain Control for the Short Stay Resident Funded in 2011 AMDA/Pfizer QI Award. Project Team. Paul S. Sanders, MD – Medical Director for the Benedictine Health System Phyllis M. Gaspar, Ph.D., RN

tessa
Download Presentation

Project Team

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pilot of a Toolkit for the Implementation of the PAINLESS Pathway: Improving Pain Control for the Short Stay Resident Funded in 2011 AMDA/Pfizer QI Award

  2. Project Team • Paul S. Sanders, MD – Medical Director for the Benedictine Health System • Phyllis M. Gaspar, Ph.D., RN • Murthy Gokula, MD, CMD • Deb Jeranek, RN, MS Recognition of research assistants on site and in data analysis

  3. Factors Contributing to Inadequate Pain Management for SSU Residents

  4. Purpose Evaluate the implementation of the PAINLESS pathway (Pain Assessment & Intervention: Necessary Ladder for Effective Short Stays) Designed to improve the quality of care of SSU residents through the management of acute and persistent pain.

  5. Implementation of PAINLESS • Evidence based pathway developed • Engaging strategies: Prescribers • Input from prescribers • On-site meeting • Feedback on draft pathways • Engaging strategies: Nursing staff • Establishing nurse champions • Certification in pain management • Formal and information education • Feedback on monthly basis

  6. Setting • Two short stay units in a Midwest Metropolitan area

  7. Data collection Process was repeated for 3 months following implementation of the protocol Survey conducted to evaluate implementation

  8. Data Analysis • Congruence of documented management with the pathway established for each pain occurrence by MD (Agreement between 3 MDs ) • Excel database was created and transposed to an SPSS database for statistical analysis. • Descriptive analysis • log transformation (wide variance in # of occurrences of pain management between subjects) • Content analysis of the evaluation survey responses

  9. Table 4. Frequency and percentage of pain management pathways

  10. Pain Medication Administration • # of pain medication occurrences (N=85) • ranged from 1 to 99 per subject • mean of 21.64 times • % of congruence with the pain management protocol • close to 100% • indicating that prescribers were following the protocol overall.

  11. Discussion • Congruence of the use of a pain management pathway approached 100%. • Low use of numerical ratings concern • Cognitive ability of residents • Environmental confounders • Low census at site B • Medical director change at site B • Staff turnover

  12. Recommendations

  13. Knowing is not enough; • We must apply. • Willing is not enough; • We must do. • Goethe

More Related