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Development of an Electronic Database for Acute Pain Service Outcomes
Pain Research and Management ( IF 2.5 ) Pub Date : 2012 , DOI: 10.1155/2012/256154
Brandy L Love 1 , Louise A Jensen 2 , Donald Schopflocher 3 , Ban CH Tsui 4
Affiliation  

From mitigating complications during hospital stay to reducing the incidence of chronic pain, improving pain management positively impacts short- and long-term outcomes of treatment. Quality assurance has become the focus of many health care programs in an effort to confront the challenges presented by pain and its management. The analysis of treatment strategies and patient responses form the basis of a reflective, evidence-based practice, which can raise awareness of about the importance of adequate pain management. The capabilities of an electronic database can be exploited to organize large amounts of data, which can then be used to characterize symptoms and analyze treatment responses. However, the types of data to collect, the burden of data collection on workers, and costs must be considered before implementing an electronic database for research and/or everyday practice. This study tested the relevance and usability of an electronic database in an acute pain service by assessing several variables important to database development and evaluation.BACKGROUND: Quality assurance is increasingly important in the current health care climate. An electronic database can be used for tracking patient information and as a research tool to provide quality assurance for patient care.OBJECTIVE: An electronic database was developed for the Acute Pain Service, University of Alberta Hospital (Edmonton, Alberta) to record patient characteristics, identify at-risk populations, compare treatment efficacies and guide practice decisions.METHOD: Steps in the database development involved identifying the goals for use, relevant variables to include, and a plan for data collection, entry and analysis. Protocols were also created for data cleaning quality control. The database was evaluated with a pilot test using existing data to assess data collection burden, accuracy and functionality of the database.RESULTS: A literature review resulted in an evidence-based list of demographic, clinical and pain management outcome variables to include. Time to assess patients and collect the data was 20 min to 30 min per patient. Limitations were primarily software related, although initial data collection completion was only 65% and accuracy of data entry was 96%.CONCLUSIONS: The electronic database was found to be relevant and functional for the identified goals of data storage and research.

中文翻译:

电子数据库的急性疼痛服务成果的发展。

从减轻住院期间的并发症到减少慢性疼痛的发生,改善疼痛管理对短期和长期治疗效果都有积极影响。为了应对疼痛及其治疗带来的挑战,质量保证已成为许多医疗保健计划的重点。对治疗策略和患者反应的分析构成了反思性,循证实践的基础,可以提高对适当疼痛管理的重要性的认识。可以利用电子数据库的功能来组织大量数据,然后将其用于表征症状和分析治疗反应。但是,要收集的数据类型,工作人员的数据收集负担,在实施用于研究和/或日常实践的电子数据库之前,必须考虑成本。这项研究通过评估对数据库开发和评估重要的几个变量,测试了电子数据库在急性疼痛服务中的相关性和可用性。背景:在当前的医疗保健环境中,质量保证越来越重要。电子数据库可用于跟踪患者信息,并作为研究工具为患者护理提供质量保证。目标:为阿尔伯塔大学医院(阿尔伯塔省埃德蒙顿)的急性疼痛服务开发了一个电子数据库,用于记录患者特征,识别高危人群,比较治疗效果并指导实践决策。方法:数据库开发步骤涉及确定使用目标,要包括的相关变量,以及数据收集,输入和分析的计划。还创建了用于数据清理质量控制的协议。通过使用现有数据的先导测试对数据库进行评估,以评估数据库的数据收集负担,准确性和功能。结果:文献综述产生了基于证据的人口统计学,临床和疼痛管理结果变量列表。评估患者和收集数据的时间为每位患者20分钟至30分钟。局限性主要与软件有关,尽管初始数据收集完成率仅为65%,数据输入的准确性为96%。结论:发现电子数据库对于确定的数据存储和研究目标具有相关性和实用性。还创建了用于数据清理质量控制的协议。通过使用现有数据的先导测试对数据库进行评估,以评估数据库的数据收集负担,准确性和功能。结果:文献综述产生了基于证据的人口统计学,临床和疼痛管理结果变量列表。评估患者和收集数据的时间为每位患者20分钟至30分钟。局限性主要与软件有关,尽管初始数据收集完成率仅为65%,数据输入的准确性为96%。结论:发现电子数据库对于确定的数据存储和研究目标具有相关性和实用性。还创建了用于数据清理质量控制的协议。通过使用现有数据的先导测试对数据库进行评估,以评估数据库的数据收集负担,准确性和功能。结果:文献综述产生了基于证据的人口统计学,临床和疼痛管理结果变量列表。评估患者和收集数据的时间为每位患者20分钟至30分钟。局限性主要与软件有关,尽管初始数据收集完成率仅为65%,数据输入的准确性为96%。结论:发现电子数据库对于确定的数据存储和研究目标具有相关性和实用性。结果:文献综述得出了包括人口统计学,临床和疼痛管理结果变量在内的循证清单。评估患者和收集数据的时间为每位患者20分钟至30分钟。局限性主要与软件有关,尽管初始数据收集完成率仅为65%,数据输入的准确性为96%。结论:发现电子数据库对于确定的数据存储和研究目标具有相关性和实用性。结果:文献综述得出了包括人口统计学,临床和疼痛管理结果变量在内的循证清单。评估患者和收集数据的时间为每位患者20分钟至30分钟。局限性主要与软件有关,尽管初始数据收集完成率仅为65%,数据输入的准确性为96%。结论:发现电子数据库对于确定的数据存储和研究目标具有相关性和实用性。
更新日期:2020-09-25
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