Improving management of acute pain for older adults in the ED setting

改善急诊室老年人急性疼痛的管理

基本信息

  • 批准号:
    8301883
  • 负责人:
  • 金额:
    $ 25.25万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2012
  • 资助国家:
    美国
  • 起止时间:
    2012-05-01 至 2014-04-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): As the population ages, an increasing number of older adults will present to emergency departments (EDs) for urgent and painful conditions. Preliminary studies demonstrate that older adults are less likely to receive analgesia in the ED setting. Over the last decade, pain care interventions in the outpatient and inpatient settings have had mixed success in improving the quality and patient satisfaction of pain care received. Interventions that provide clinical decision support (CDS) are a potential method to overcome this barrier and may present new assessment methods and management strategies for treating acute pain in older adults, thus significantly improve the quality of pain care delivered. The goals of this exploratory pilot study are to determine the feasibility of integrating electronic clinical decision support into routine clinical pain care for older adults in the ED setting and to determine whether or not such clinical decision support is efficacious in improving pain care outcomes for these patients. Utilizing a multistage study design that incorporates usability testing and quantitative research methodologies, data will be collected to assess the feasibility of integrating a CDS tool consisting of both an electronic pain care alert (ePCA) intervention and an embedded pain care algorithm into routine ED clinical care. A randomized comparative effectiveness trial evaluating the efficacy of these will then be studied to determine if the intervention improves the quality of pain care. The innovative use of CDS, never previously used to improve geriatric pain care in the ED setting, to prompt clinicians to provide acute pain care to older patients with complaints of severe (abdominal) pain (pain score 10 out of 0-10 pain scale) will be compared to control patients seen by clinicians not receiving the alerts (routine ED care). If effective, the implications of such an intervention will have broad implications and applicability for other acute pain-associated conditions specific to older adults, and with urgent conditions seen in multiple settings across and external to the ED including inpatient and outpatient settings. PUBLIC HEALTH RELEVANCE: This exploratory study will evaluate the innovative use of a clinical decision support tool that consists of an automated electronic pain care alert and embedded pain care algorithms to improve acute pain care for older adults in the ED setting. If feasible and effective, such an intervention may have broad implications on improving not only the quality of geriatric pain care, but also general quality of care for elders in the ED setting.
描述(由申请人提供):随着人口年龄的增长,越来越多的老年人将出现在急诊部门(EDS),以应对紧急和痛苦的状况。初步研究表明,在ED环境中接受镇痛的可能性较小。在过去的十年中,门诊和住院环境中的疼痛护理干预措施在提高接受疼痛护理的质量和患者满意度方面取得了成功。提供临床决策支持(CD)的干预措施是一种克服这一障碍的潜在方法,并可能提出新的评估方法和管理策略来治疗老年人的急性疼痛,从而显着提高了提供的疼痛护理质量。 这项探索性试验研究的目标是确定将电子临床决策支持整合到ED环境中老年人的常规临床疼痛护理中的可行性 确定这种临床决策支持是否有效地改善了这些患者的疼痛护理结果。利用包含可用性测试和定量研究方法的多阶段研究设计,将收集数据,以评估整合由电子疼痛护理警报(EPCA)干预和嵌入式疼痛护理算法组成的CDS工具的可行性。然后将研究一项评估这些功效的随机比较有效性试验,以确定干预是否可以提高疼痛护理的质量。 CD的创新使用,以前从未用来改善ED环境中的老年疼痛护理,以促使临床医生向患有严重(腹部)疼痛投诉的老年患者提供急性疼痛护理(0-10疼痛量表中的疼痛评分10分10分)将与临床医生相提并论。 关心)。如果有效,这种干预的含义将对其他特定于老年人的其他急性疼痛相关条件以及在ED的多个环境中看到的紧急条件具有广泛的影响和适用性,包括住院和门诊环境。 公共卫生相关性:这项探索性研究将评估由自动化的电子疼痛护理警报和嵌入式疼痛护理算法组成的临床决策支持工具的创新使用,以改善ED环境中老年人的急性疼痛护理。如果可行且有效,这种干预措施不仅可以改善老年疼痛护理的质量,而且对ED环境中的长者的一般护理质量也具有广泛的影响。

项目成果

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Ula Y Hwang其他文献

Ula Y Hwang的其他文献

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{{ truncateString('Ula Y Hwang', 18)}}的其他基金

Discharge care transitions for patients with dementia: a qualitative study of Hispanic patients' and families' experiences in the ED.
痴呆症患者的出院护理转变:对西班牙裔患者和家属在急诊室经历的定性研究。
  • 批准号:
    10832878
  • 财政年份:
    2020
  • 资助金额:
    $ 25.25万
  • 项目类别:
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)
老年急救护理应用研究网络 2.0 - 推进痴呆症护理 (GEAR 2.0 ADC)
  • 批准号:
    10094657
  • 财政年份:
    2020
  • 资助金额:
    $ 25.25万
  • 项目类别:
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)
老年急救护理应用研究网络 2.0 - 推进痴呆症护理 (GEAR 2.0 ADC)
  • 批准号:
    10264037
  • 财政年份:
    2020
  • 资助金额:
    $ 25.25万
  • 项目类别:
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)
老年急救护理应用研究网络 2.0 - 推进痴呆症护理 (GEAR 2.0 ADC)
  • 批准号:
    10755149
  • 财政年份:
    2020
  • 资助金额:
    $ 25.25万
  • 项目类别:
Building the Geriatric Emergency care Applied Research (GEAR) network
建立老年急救应用研究 (GEAR) 网络
  • 批准号:
    10455551
  • 财政年份:
    2018
  • 资助金额:
    $ 25.25万
  • 项目类别:
Building the Geriatric Emergency care Applied Research (GEAR) network
建立老年急救应用研究 (GEAR) 网络
  • 批准号:
    10300630
  • 财政年份:
    2018
  • 资助金额:
    $ 25.25万
  • 项目类别:
Building the Geriatric Emergency care Applied Research (GEAR) network
建立老年急救应用研究 (GEAR) 网络
  • 批准号:
    10263290
  • 财政年份:
    2018
  • 资助金额:
    $ 25.25万
  • 项目类别:
Building the Geriatric Emergency care Applied Research (GEAR) network
建立老年急救应用研究 (GEAR) 网络
  • 批准号:
    9763414
  • 财政年份:
    2018
  • 资助金额:
    $ 25.25万
  • 项目类别:
Analgesic safety and effectiveness in older veterans with arthritis
患有关节炎的老年退伍军人的镇痛安全性和有效性
  • 批准号:
    10178089
  • 财政年份:
    2014
  • 资助金额:
    $ 25.25万
  • 项目类别:
Analgesic safety and effectiveness in older veterans with arthritis
患有关节炎的老年退伍军人的镇痛安全性和有效性
  • 批准号:
    8596894
  • 财政年份:
    2014
  • 资助金额:
    $ 25.25万
  • 项目类别:

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Oral N2O Therapy in Treating Acute Vaso-Occlusive Pain in Sickle Cell Disease
口服 N2O 疗法治疗镰状细胞病急性血管闭塞性疼痛
  • 批准号:
    10507724
  • 财政年份:
    2022
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    $ 25.25万
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Effectiveness and Feasibility of Patient Controlled Analgesia in the ED
急诊室患者自控镇痛的有效性和可行性
  • 批准号:
    8554376
  • 财政年份:
    2012
  • 资助金额:
    $ 25.25万
  • 项目类别:
Effectiveness and Feasibility of Patient Controlled Analgesia in the ED
急诊室患者自控镇痛的有效性和可行性
  • 批准号:
    8688815
  • 财政年份:
    2012
  • 资助金额:
    $ 25.25万
  • 项目类别:
Effectiveness and Feasibility of Patient Controlled Analgesia in the ED
急诊室患者自控镇痛的有效性和可行性
  • 批准号:
    8419588
  • 财政年份:
    2012
  • 资助金额:
    $ 25.25万
  • 项目类别:
Improving management of acute pain for older adults in the ED setting
改善急诊室老年人急性疼痛的管理
  • 批准号:
    8463441
  • 财政年份:
    2012
  • 资助金额:
    $ 25.25万
  • 项目类别:
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