Improved Pain Resolution in Hospitalized Patients through Targeting of Pain Mismanagement as Medical Error
Okon TR et al. - Significant decrease in error rate (delayed pain reassessment) was observed postintervention compared with preintervention rate. Among 6305 unique severe pain events examined during four months pre- and postintervention, time to resolution of severe pain decreased significantly (median time preintervention of 195 minutes compared with median time postintervention of 117, 106, and 101 minutes). Hospital-wide, unanticipated monthly naloxone administration decreased postintervention compared with preintervention. Hospital-wide implementation of real-time, computer-generated alerts identifying instances of delayed pain reassessment resulted in sustained reduction of error rate and faster resolution of severe pain without oversedation. [more...]
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