title: [Quality management in acute pain therapy: results from a survey of certified hospitals].
abstract: OBJECTIVE
  Systems for and methods of quality management are increasingly being implemented in public health services. The aim of our study was to analyze the current state of the integrated quality management concept "quality management acute pain therapy" of the TÜV Rheinland® (TÜV) after a 5-year project period.
  
  
  METHODS
  General characteristics of the participating hospitals, number of departments certified by the TÜV and implementation of structures and processes according to the TÜV guidelines were evaluated by a mail questionnaire. Furthermore, positive and negative aspects concerning the effects of certification were evaluated by the hospitals' representatives of certification.
  
  
  RESULTS
  A total of 36 questionnaires were returned. Since 2006 the number of certified hospitals (2011: n = 48) and surgical departments (2011: n = 202) has increased continuously. The number of certified medical departments is low (2011: n = 39); however, in the last 3 years, it has increased by about 200-300% annually. Standard operative procedures for pain therapy and measurement of pain intensity at regular intervals were implemented in all certified clinics (100%). Although 41% take part in the benchmarking project QUIPS (Quality Improvement in Postoperative Pain Therapy), 24% do not systematically check the quality of the outcome of pain management. Acceptance of the new pain therapy concepts among nursing staff was rated positively (ratio positive:negative 16:1); however, acceptance among physicians was rated negatively (1:15).
  
  
  CONCLUSIONS
  Certification by the TÜV leads to sustainable implementation of quality management principles. Future efforts should focus on better integration of physicians in acute pain therapy and the development of an integrated tool to measure patients' outcome.
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum der Universität Witten/Herdecke, Kliniken der Stadt Köln gGmbH, Ostmerheimer Str. 200, 51109, Köln, Deutschland. boehmera@kliniken-koeln.de
authors.forename: A B
authors.initials: AB
authors.lastname: Böhmer
authors.forename: M
authors.initials: M
authors.lastname: Poels
authors.forename: C
authors.initials: C
authors.lastname: Simanski
authors.forename: S
authors.initials: S
authors.lastname: Trojan
authors.forename: K
authors.initials: K
authors.lastname: Messer
authors.forename: M D
authors.initials: MD
authors.lastname: Wirtz
authors.forename: E A M
authors.initials: EA
authors.lastname: Neugebauer
authors.forename: F
authors.initials: F
authors.lastname: Wappler
authors.forename: R
authors.initials: R
authors.lastname: Joppich
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000628:therapy*; D019985:Benchmarking / Q000592:standards; D003299:Cooperative Behavior; D003406:Credentialing; D005858:Germany; D019538:Health Care Surveys; D006761:Hospitals; D006801:Humans; D033183:Interdisciplinary Communication; D009730:Nursing Assessment / Q000592:standards; D059408:Pain Management / Q000592:standards*; D010147:Pain Measurement / Q000592:standards; D010149:Postoperative Pain / Q000175:diagnosis / Q000628:therapy; D010348:Patient Care Team; D058996:Quality Improvement / Q000592:standards; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000592:standards*; D016896:Treatment Outcome