Benditz, A. and Drescher, J. and Greimel, F. and Zeman, F. and Grifka, J. and Meissner, W. and Voellner, F. (2016) Implementing a benchmarking and feedback concept decreases postoperative pain after total knee arthroplasty: A prospective study including 256 patients. Scientific Reports, 6: 38218. ISSN 2045-2322,
Full text not available from this repository. (Request a copy)Abstract
Perioperative pain reduction, particularly during the first two days, is highly important for patients after total knee arthroplasty (TKA). Problems are not only caused by medical issues but by organization and hospital structure. The present study shows how the quality of pain management can be increased by implementing a standardized pain concept and simple, consistent benchmarking. All patients included into the study had undergone total knee arthroplasty. Outcome parameters were analyzed by means of a questionnaire on the first postoperative day. A multidisciplinary team implemented a regular procedure of data analyzes and external benchmarking by participating in a nationwide quality improvement project. At the beginning of the study, our hospital ranked 16(th) in terms of activity-related pain and 9(th) in patient satisfaction among 47 anonymized hospitals participating in the benchmarking project. At the end of the study, we had improved to 1(st) activity-related pain and to 2(nd) in patient satisfaction. Although benchmarking started and finished with the same standardized pain management concept, results were initially pure. Beside pharmacological treatment, interdisciplinary teamwork and benchmarking with direct feedback mechanisms are also very important for decreasing postoperative pain and for increasing patient satisfaction after TKA.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY IMPROVEMENT; MANAGEMENT; ANALGESIA; THERAPY; PSOAS; BLOCK; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 Apr 2019 13:46 |
| Last Modified: | 11 Apr 2019 13:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/3798 |
Actions (login required)
 |
View Item |
