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Anesthesia-based pain services improve the quality of postoperative pain management.

Publication ,  Journal Article
Miaskowski, C; Crews, J; Ready, LB; Paul, SM; Ginsberg, B
Published in: Pain
March 1999

Anesthesia-based pain services are facilitating improvements in the quality of care of surgical patients by developing and directing institution-wide perioperative analgesia programs that include interdisciplinary collaborations. However, the impact of anesthesia-based pain services has not been evaluated in a systematic fashion. This prospective multisite study (n = 23 hospitals) utilized a standardized approach to evaluate the quality of pain care provided to patients who were and who were not cared for by an anesthesia-based pain service. A total of 5837 patients were evaluated using a standardized survey that consisted of a medical record review and a patient interview. The data were collected as part of the hospitals' quality improvement activities. Forty-nine percent of the patients were cared for by an anesthesia-based pain service. Patients who received pain service care reported significantly lower pain intensity scores; had lower levels of pain in the postoperative period; had a lower incidence of pruritus, sedation, and nausea; and experienced significantly less pain than expected. In addition, these patients were more likely to receive patient education about postoperative pain management; were more satisfied with their postoperative pain management; and were discharged sooner from the hospital. The findings from this study demonstrate that the care provided by anesthesia-based pain services has a significant impact on patient outcomes.

Duke Scholars

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Published In

Pain

DOI

ISSN

0304-3959

Publication Date

March 1999

Volume

80

Issue

1-2

Start / End Page

23 / 29

Location

United States

Related Subject Headings

  • Time Factors
  • Quality Assurance, Health Care
  • Prospective Studies
  • Patient Satisfaction
  • Patient Education as Topic
  • Pain, Postoperative
  • Pain Measurement
  • Middle Aged
  • Male
  • Length of Stay
 

Citation

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Miaskowski, C., Crews, J., Ready, L. B., Paul, S. M., & Ginsberg, B. (1999). Anesthesia-based pain services improve the quality of postoperative pain management. Pain, 80(1–2), 23–29. https://doi.org/10.1016/s0304-3959(98)00192-4
Miaskowski, C., J. Crews, L. B. Ready, S. M. Paul, and B. Ginsberg. “Anesthesia-based pain services improve the quality of postoperative pain management.Pain 80, no. 1–2 (March 1999): 23–29. https://doi.org/10.1016/s0304-3959(98)00192-4.
Miaskowski C, Crews J, Ready LB, Paul SM, Ginsberg B. Anesthesia-based pain services improve the quality of postoperative pain management. Pain. 1999 Mar;80(1–2):23–9.
Miaskowski, C., et al. “Anesthesia-based pain services improve the quality of postoperative pain management.Pain, vol. 80, no. 1–2, Mar. 1999, pp. 23–29. Pubmed, doi:10.1016/s0304-3959(98)00192-4.
Miaskowski C, Crews J, Ready LB, Paul SM, Ginsberg B. Anesthesia-based pain services improve the quality of postoperative pain management. Pain. 1999 Mar;80(1–2):23–29.
Journal cover image

Published In

Pain

DOI

ISSN

0304-3959

Publication Date

March 1999

Volume

80

Issue

1-2

Start / End Page

23 / 29

Location

United States

Related Subject Headings

  • Time Factors
  • Quality Assurance, Health Care
  • Prospective Studies
  • Patient Satisfaction
  • Patient Education as Topic
  • Pain, Postoperative
  • Pain Measurement
  • Middle Aged
  • Male
  • Length of Stay