Compliance in administration of prescribed analgesics.
In this noninterventional study, the implementation of 'modern' pain management in clinical practice was investigated by recording the regular prescription, administration and efficacy of analgesic drugs. This resulted in a reproducible and superficial quality control design for hospitals. One hundred and fifty surgical patients were followed during 5 days postoperatively. For every patient, pain, mood and sedation were measured using visual analogue and verbal descriptive scores; the prescription of analgesics at set times and administered doses of analgesics were also recorded. Only paracodeine and naproxen were administered regularly as prescribed, unlike paracetamol and morphine. The prescribed daily dose of morphine was only received by 4.2% of all patients. Although the postoperative pain treatment pathway was considered to be improved after better education and communication, in fact the opposite was found. This is probably caused by traditional thinking, lack of control and time pressure on the hospital staff and the subservient attitude of the patient.
Boer
C
C
Department of Anaesthesiology, Academic Hospital Vrije Universiteit, Amsterdam, The Netherlands.
Treebus
A N
AN
Zuurmond
W W
WW
de Lange
J J
JJ
D000082:Acetaminophen / Q000008:administration & dosage; D000293:Adolescent; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000008:administration & dosage*; D003061:Codeine / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005260:Female; D019983:Guideline Adherence; D006785:Hospitals, University; D006801:Humans; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D009288:Naproxen / Q000008:administration & dosage; D009426:Netherlands; D010149:Postoperative Pain / Q000188:drug therapy*
D000700:Analgesics; D000082:Acetaminophen; D009288:Naproxen; D009020:Morphine; D003061:Codeine