Pain management policies and reported practices in Swiss emergency departments: a national survey.

Details

Serval ID
serval:BIB_FD8B23EEF763
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Pain management policies and reported practices in Swiss emergency departments: a national survey.
Journal
Swiss medical weekly
Author(s)
Bourgeois M., Carron P.N., Ernst S., Exadaktylos A., Guigli Poretti M., Keller D., Meier K., Nickel C.H., Rutschmann O.T., Sieber R., Steuer S., Tabakovic S., Hugli O.
ISSN
1424-3997 (Electronic)
ISSN-L
0036-7672
Publication state
Published
Issued date
16/12/2019
Peer-reviewed
Oui
Volume
149
Pages
w20155
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Acute pain is the most common complaint of patients presenting to emergency departments (EDs). Effective pain management is a core ED mission, but numerous studies have pointed to insufficient pain treatment or oligoanalgesia. According to a 1997 national survey in Swiss EDs, a validated pain scale was used in only 14%, an analgesia protocol in <5%, and 1.1% had a nurse-initiated pain protocol. Since then, numerous societal and health care factors have led to improved ED pain care. The aim of this study was to assess the state of ED pain management in Switzerland.
Hospital-based Swiss EDs open 24 hours a day and 7 days a week in 2013 were surveyed using a questionnaire. Data from 2013 were collected. Questions queried the pain management process by nurses and physicians in each ED.
The response rate was 115 of 137 eligible EDs (84%). Pain intensity was assessed with a validated instrument in 71% of waiting rooms and in 99% of treatment areas. A nurse-initiated analgesia protocol was available in 56% of waiting rooms and in 70% of treatment areas. Physician pain protocols were available in 75%, and analgesia-sedation protocols in 51%.
The pain management processes in Swiss EDs have improved over the last 17 years, and are now equivalent to other western countries. Our study did not, however, assess if these improvements resulted in better analgesia at the bedside, an important topic that will require further study.
Keywords
Analgesia/methods, Emergency Service, Hospital, Health Policy, Humans, Nurses, Pain/diagnosis, Pain/drug therapy, Pain Management/methods, Surveys and Questionnaires, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
20/12/2019 11:50
Last modification date
14/08/2020 6:21
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