Opioid Use, Pain
Conditions
Keywords
opioid, inpatient, pain, multimodal
Brief summary
The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a menu of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management.
Detailed description
The goal of the proposed study is to develop and implement a comprehensive strategy to address pain management in the inpatient setting while appropriately managing pain and optimizing patient safety in the inpatient setting. This strategy involves developing a new health Information Technology tool in the Omnicell and electronic medical record, implementing a menu of pain management and relaxation strategies, and developing educational materials for staff and patients to change the culture of pain management. This intervention will be implemented throughout CHS hospitals, using a stepped wedge design to guide rollout. The initial pilot will be conducted in the trauma inpatient units at Carolinas Medical Center. All patients admitted to the two primary trauma units (11A and 11 Tower) during the pilot study period will be included in the evaluation.
Interventions
OTHERIMPROVE Protocol
Comprehensive pain management protocol
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All patients treated in facility as inpatient during the study period will be included in the analysis.
Exclusion criteria
* Patients not admitted to facility during the study period will be excluded from the analysis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Use of Opioid Overdose Reversal Treatment | Patient's entire length of stay in the hospital, up to 3 months | Incidence of administration of opioid reversal agent |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain | Patient's entire length of stay in the hospital, up to 3 months | Average daily pain scores (VAS) |
| Oversedation without naloxone | Patient's entire length of stay in the hospital, up to 3 months | Incidence of patient oversedation (Pasero \> 2 or associated diagnosis code) |
| Multimodal Therapy | Patient's entire length of stay in the hospital, up to 3 months | Percentage of patients receiving multimodal pain management |
| Average Daily MME | Patient's entire length of stay in the hospital, up to 3 months | Morphine Milligram Equivalent Dosing for Opioid Medications |
Countries
United States
Outcome results
None listed