1127 / The control of postoperative pain

ITALY
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Medication / IV Fluids
Patient involvement There is no specified text here
Topic of the reported practice
Patient surveys
Aim and the benefit of the Patient Safety Practice
 
In the last couple of years, the concept of having the right to avoid useless suffering has been developing in our country. This is demonstrated by the fact we have developed a leading edge experience in pain management as well as palliative therapy. Objectives - In accordance with the program of the World Health Organization (WHO), the Clinic "Di Lorenzo" has established in 2009, the COSD(Comitato Hospital Senza Dolore) whose objective is to fight against pain.
Description of the Patient Safety Practice
 
A pain management team, made up by Anesthesiologists and the Operating Room nursing staff, periodically evaluates the degree of pain and the efficacy of the pain therapy prescribed. Their duties include: the administration of rescue doses of pain medications, refilling of the reservoirs used in the continuous infusion devices, recognition of any undesired side effects along with the determination of the cause as well the treatment of said side effects. (for example: vomiting and nausea due to morphine). During the remaining time periods the departmental nursing as well as the house physician will be responsible for the care of the patient. In 2012 the COSD (committee on pain management) has established that it useful and necessary to obtain feedback regarding the level of satisfaction of the pain management employed in order to continually improve the care provided. As a means to this end a simple questionnaire will be given to the patient wherein the patient can express his/her opinion regarding the pain experienced during the post surgical period.
In 2012 the COSD (committee on pain management) has established that it useful and necessary to obtain feedback regarding the level of satisfaction of the pain management employed in order to continually improve the care provided. As a means to this end a simple questionnaire will be given to the patient wherein the patient can express his/her opinion regarding the pain experienced during the post surgical period. From the analysis of the questionnaires obtained in 2013 it is apparent the results obtained are more than satisfactory: 43% of the patients operated upon did not have pain following the surgical procedure; 89% of the patients said that they had received an exhaustive explanation concerning the pain management in the post operative period, and finally 74% of patients had a short waiting time before they had received an adequate pain therapy.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
Nursing facility
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Pharmacists
Therapists
Clinical manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Not known
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/questionnaire.aspx?id=4651
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Regular data feed back to involved staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Nicola Liberati
Country: ITALY
Organisation: CASA DI CURA 'DI LORENZO'
E-mail: nic.liberati@gmail.com
Phone: There is no specified text here
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