Pain – a Quality Indicator
Konferenční objektOtevřený přístuppeer-reviewedpostprintDatum publikování
2017-12
Vedoucí práce
Oponent
Název časopisu
Název svazku
Vydavatel
University of Pardubice
Abstrakt
Introduction: The quality and safety of healthcare is currently in the spotlight of experts and
non-professionals. The need to implement them into healthcare is related to the supply of
healthcare services, the general public pressure on standardizing processes and effectiveness,
competition, prestige and last but not least, an effort to avoid patient complaints.
Objective: To conduct a pilot study focused on pain observation as a quality indicator; to
observe pain management in postoperative patients; to conduct a content analysis of medical
records of these patients and to create a checklist for a subsequent in-depth empirical study.
Method: A content analysis of medical records focused on compliance and non-compliance
with existing policies in the following domains: 1) Records of patients’ pain; 2) Records
of medication orders and administration in three phases: I) Patient admission; II) Return to
unit; III) First to fourth postoperative day, charting of physicians and nurses.
Results: Non-compliance with directives was determined in all observed domains. The most
frequent non-compliance was in neglecting pain assessment intervals by nurses. The most
dangerous discrepancy was observed between medication orders and their administration.
Conclusion: Content analysis of medical records of postoperative patients was conducted and
the checklist for subsequent documentation audits was edited. The conclusion of this pilot
study will be consulted with the patient care managers and an in-depth empirical study will be
conducted based on the results of the present pilot study.
Rozsah stran
p. 20 - 29
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open access
Název akce
4th International Conference Quality and Its Perspectives, with the subtitle: Assisting Professions through Time (April 19, 2017)
ISBN
978-80-7560-114-8
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Klíčová slova
analysis of medical records, pain management, quality, safety