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dc.contributor.authorBaumann, Brigitte M.
dc.contributor.authorHolmes, John H.
dc.contributor.authorChansky, Michael E.
dc.contributor.authorLevey, Helen
dc.contributor.authorKulkarni, Miriam
dc.contributor.authorBoudreaux, Edwin D.
dc.date2022-08-11T08:08:17.000
dc.date.accessioned2022-08-23T15:49:46Z
dc.date.available2022-08-23T15:49:46Z
dc.date.issued2007-01-14
dc.date.submitted2011-06-28
dc.identifier.citationAcad Emerg Med. 2007 Jan;14(1):47-52. Epub 2006 Nov 10. <a href="http://dx.doi.org/10.1197/j.aem.2006.06.057">Link to article on publisher's site</a>
dc.identifier.issn1069-6563 (Linking)
dc.identifier.doi10.1197/j.aem.2006.06.057
dc.identifier.pmid17099187
dc.identifier.urihttp://hdl.handle.net/20.500.14038/28513
dc.description.abstractOBJECTIVES: Many emergency departments (EDs) have incorporated pain assessment scales in the medical record to improve compliance with the requirements of the Joint Commission on Accreditation of Healthcare Organizations. The authors conducted a pre-post trial investigating the effects of introducing a templated chart on the documentation of pain assessments and the provision of analgesia to ED patients. METHODS: A total of 2,379 charts were reviewed for inclusion based on the presence of a chief complaint related to trauma or nontraumatic pain, with 1,242 charts included in the analysis. RESULTS: Baseline demographic characteristics, mechanism of injury, location of injury, and initial pain severity were similar in the two groups. The proportion of patients with documentation of pain assessment increased from 41% to 57% (p < 0.001). In particular, traumatic mechanisms and chest, abdominal, and extremity pain yielded the largest improvements in documentation after introduction of the templated charts. Documentation of pain descriptors also improved for time of onset, duration, timing, and context (p < 0.01). Pain control in the templated chart group, however, remained unchanged and the provision of analgesia in the ED was not altered, with the exception of nonsteroidal medications, which decreased from 46% to 36% (p < 0.01). CONCLUSIONS: Although documentation is improved with a templated chart, this improvement did not translate into improved patient care.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=17099187&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1197/j.aem.2006.06.057
dc.subjectAdult
dc.subjectAnalgesia
dc.subjectDocumentation
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subject*Medical Records
dc.subjectPain
dc.subject*Pain Measurement
dc.subjectRetrospective Studies
dc.subjectEmergency Medicine
dc.titlePain assessments and the provision of analgesia: the effects of a templated chart
dc.typeJournal Article
dc.source.journaltitleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine
dc.source.volume14
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/emed_pp/21
dc.identifier.contextkey2078676
html.description.abstract<p>OBJECTIVES: Many emergency departments (EDs) have incorporated pain assessment scales in the medical record to improve compliance with the requirements of the Joint Commission on Accreditation of Healthcare Organizations. The authors conducted a pre-post trial investigating the effects of introducing a templated chart on the documentation of pain assessments and the provision of analgesia to ED patients.</p> <p>METHODS: A total of 2,379 charts were reviewed for inclusion based on the presence of a chief complaint related to trauma or nontraumatic pain, with 1,242 charts included in the analysis.</p> <p>RESULTS: Baseline demographic characteristics, mechanism of injury, location of injury, and initial pain severity were similar in the two groups. The proportion of patients with documentation of pain assessment increased from 41% to 57% (p < 0.001). In particular, traumatic mechanisms and chest, abdominal, and extremity pain yielded the largest improvements in documentation after introduction of the templated charts. Documentation of pain descriptors also improved for time of onset, duration, timing, and context (p < 0.01). Pain control in the templated chart group, however, remained unchanged and the provision of analgesia in the ED was not altered, with the exception of nonsteroidal medications, which decreased from 46% to 36% (p < 0.01).</p> <p>CONCLUSIONS: Although documentation is improved with a templated chart, this improvement did not translate into improved patient care.</p>
dc.identifier.submissionpathemed_pp/21
dc.contributor.departmentDepartment of Emergency Medicine
dc.source.pages47-52


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