[Implementation of a standardized perioperative pain management concept in three hospitals of a consortium].
BACKGROUND
Provision of sufficient perioperative pain therapy is an obligation in the clinical management of patients suffering from pain. The implementation of a standardized pain management concept was planned to be introduced in the clinical routine. The results of three hospitals are shown.


METHODS
The concept included tools which gave information about legal aspects and basic fundamentals of pain relief, management modules regarding agreements on the implementation of perioperative pain therapy, instruments to measure pain intensity, assigning accountability and documentation modules. Questionnaires were carried out according to Picker.


RESULTS
The project revealed that, according to the Picker questionnaire, about 50% of the patients treated in the hospitals had pain, 30-40% still had intensive pain during the stay in hospital and 90% of the patients received pain relief medication within 10 min of the request. More than 78% of the patients thought the hospital staff did their best to relieve the pain and over 92% found the pain treatment adequate.


CONCLUSIONS
It was possible to implement a standardized perioperative pain therapy concept in three hospitals of a consortium. Whether an adequate pain relief can be improved with the help of standard measurements and documentation, could not be evaluated in this study.
Saur
P
P
Regionales Zentrum Anaesthesie, Schmerztherapie, Rettungs- und Intensivmedizin, Sana-Kliniken Lübeck und Ostholstein GmbH, Kronsforder Allee 71-73, 23560, Lübeck, Deutschland. p.saur@sana-luebeck.de
Junker
U
U
Gaus
P
P
Haeske-Seeberg
H
H
Blöchle
C
C
Neugebauer
E
E
D000284:Administration, Oral; D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use*; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D019091:Critical Pathways / Q000592:standards*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005858:Germany; D006284:Health Plan Implementation; D006764:Hospitals, Community; D006801:Humans; D007262:Infusions, Intravenous; D007318:Inservice Training; D010147:Pain Measurement / Q000592:standards; D010149:Postoperative Pain / Q000145:classification / Q000188:drug therapy*; D010348:Patient Care Team; D017060:Patient Satisfaction; D017749:Total Quality Management / Q000592:standards
D000700:Analgesics; D000701:Analgesics, Opioid