Pain, Acute, Emergencies
Conditions
Keywords
triage
Brief summary
All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint. The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria. The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.
Detailed description
All patients admitted in Geneva University Hospitals (GUH) emergency department (ED) are triaged using the Swiss Emergency Triage Scale (SETS), a 4-level symptom-based triage scale. At the end of the triage process the triage nurse has to choose an emergency level and a main presenting complaint among a listing of 98 presenting complaints. The SETS recommends a pain evaluation for 44 out of the SETS 98 presenting complaint. After this evaluation, a protocol standardize administration of analgesia for patients presenting pain. The primary objective of the study is to determine whether pain is correctly evaluated when required by the SETS criteria for the 44 presenting complaints. The secondary objectives are (1) to evaluate whether an appropriate treatment is delivered when pain is present, and (2) to identify predictors of pain evaluation and treatment.
Interventions
OTHERPain evaluation
Evaluation of pain using a numerical scale (1 to 10)
Sponsors
University Hospital, Geneva
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult (\>= 16y) patients admitted at GUH ED during one year * presenting complaint requiring pain evaluation accordingly to the SETS criteria
Exclusion criteria
* \< 16 y * presenting complaint that does not require a pain evaluation accordingly to the SETS criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with appropriate pain evaluation | Within 24 hours after ED admission | Percentage of patients with a documented assessement of pain using a numerical scale (0 to 10) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with appropriate pain treatment | Within 24 hours after ED admission | Percentage of patients who received an appropriate treatment accordingly to the ED recommendations. |
Countries
Switzerland
Outcome results
None listed