[Safety and effectiveness of acute postoperative pain treatment in a series of 3670 patients].
OBJECTIVE
To improve the safety and effectiveness of acute postoperative pain treatment in patients under the care of our acute pain clinic, we set 3 objectives: to establish a computerized registry updated daily for all patients treated in the unit, to define categories of quality indicators for assessing the results of acute postoperative pain treatment, and to compare our results with those reported in the literature.


METHODS
Prospective study of all patients treated by our pain clinic from May 2004 through June 2007. We analyzed 19 previously defined indicators in 4 categories: case characteristics, effectiveness, safety, and patient satisfaction. We then compared the results to those in the literature.


RESULTS
A total of 3670 patients were included. Results for the most important indicators were as follows: mean follow-up time, 3.1 days (range 1-12 days); effectiveness, 92%; severe pain (>7 on a numerical scale) at rest, 1%; moderate pain (4-6 on the scale) on movement, 31%; accidental catheter removal, 6%; and medication error, 0.4%.


CONCLUSIONS
Daily follow-up and recording of data for patients treated by the acute pain unit facilitates the evaluation of our clinical practice and contributes with improving safety and effectiveness. Comparison with reports in the literature reveals the great heterogeneity of quality assurance indicators that have been defined.
Esteve Pérez
N
N
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Son Llâtzer, Palma de Mallorca. nesteve@hsll.es
Del Rosario Usoles
E
E
Giménez Jiménez
I
I
Montero Sánchez
F
F
Baena Nadal
M
M
Ferrer
A
A
Aguilar Sánchez
J L
JL
D000208:Acute Disease; D000698:Analgesia / Q000009:adverse effects; D006801:Humans; D010149:Postoperative Pain / Q000628:therapy*; D011446:Prospective Studies; D012449:Safety