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首页> 外文期刊>Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association >An Australian audit of ED pain management patterns.
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An Australian audit of ED pain management patterns.

机译：澳大利亚对ED疼痛管理模式的审计。

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INTRODUCTION: Timely and appropriate pain management is an important quality indicator of ED performance. Emergency health care workers are well positioned to become active leaders and innovatively responsive in reducing human suffering. A pain management audit was conducted to determine Australia practice patterns. METHODS: A 12-month retrospective descriptive cohort audit was undertaken. Through the randomization process a medical record audit tool was completed for each record identified. Ethical approval for the study was obtained. RESULTS: Seventy-four hospitals agreed to conduct the audit, 36 (48%) provided data. The total number of patient notes reviewed was 2,066. Ninety-five percent (1,966) of patients arrived by ambulance. Of the patients (n=547; 56.4%) with a documented triage pain score the majority arrived in severe pain (n=300; 41.3%). Of the total number of patients (1,966) documented arriving in pain 1,473 (74.9%) received an analgesic. Six hundred and forty-four (32.7%) patients received an opioid. From time of emergency department arrival, the median time for analgesic administration was 70 minutes (IQR 58 minutes to 92 minutes). Twenty-five emergency departments (69.4%) had pain management policies that enabled nurses to initiate a pharmacological analgesia without medical consultation. DISCUSSION: The Australian pain management audit highlighted current practices and potential areas for further research. While the audit demonstrated that nurse initiated pain management interventions promoted better analgesic response, greater consistency of triage pain assessment, code allocation, and documentation of pain scores may go some way to improving the timeliness of analgesia.
机译：简介：及时适当的疼痛处理是ED表现的重要质量指标。紧急医疗保健工作者处于良好的位置，可以成为积极的领导者，并在减少人类痛苦方面具有创新性。进行了疼痛管理审核以确定澳大利亚的实践模式。方法：进行了为期12个月的回顾性描述性队列研究。通过随机化过程，为每个确定的记录完成了病历审核工具。获得了该研究的道德认可。结果：74家医院同意进行审核，其中36家（48％）提供了数据。所审查的患者笔记总数为2,066。百分之九十五（1,966）的患者通过救护车抵达。在记录了分诊疼痛评分的患者中（n = 547; 56.4％），大多数患者出现严重疼痛（n = 300; 41.3％）。在记录的所有疼痛患者中（1,966），有1,473（74.9％）人接受了镇痛药。 644名（32.7％）患者接受了阿片类药物治疗。自急诊科到达之时起，镇痛药的中位时间为70分钟（IQR 58分钟至92分钟）。 25个急诊科（69.4％）制定了疼痛管理政策，使护士无需进行医学咨询就可以进行药理镇痛。讨论：澳大利亚疼痛管理审计强调了当前的做法和有待进一步研究的潜在领域。虽然审计表明护士启动的疼痛管理干预措施可以促进更好的镇痛反应，但分诊疼痛评估，代码分配和疼痛评分记录的一致性更高，可能会改善镇痛的及时性。

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