2.50
Hdl Handle:
http://hdl.handle.net/10755/162572
Type:
Presentation
Title:
Reducing Multiple ED Visits with a Pain Management Program
Abstract:
Reducing Multiple ED Visits with a Pain Management Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Masterson, Bat, RN
P.I. Institution Name:Kootenai Health
Title:Case Manager
Contact Address:2003 Kootenai Health Way, Coeur d'Alene, ID, 83814, USA
Co-Authors:Marian Wilson, RN, MPH, CHPN
Leadership Conference - Research Abstract: Reducing Multiple ED Visits with a Pain Management Program

Purpose: Drug-seeking behavior, doctor shopping and pharmacy scams are concerns for emergency departments as they seek to treat legitimate pain without enabling the inappropriate use of prescription drugs. This study sought to determine whether a pain management program could reduce multiple emergency department visits for pain-related complaints and ensure that patients receive consistent treatment that addressed their healthcare needs.

Design: A retrospective IRB-approved program evaluation study.

Setting: A 280-bed not-for-profit, community-based, district hospital in the Northwest with 48,000 ED visits annually.

Participants/Subjects: Planned subjects are 130 patients who were enrolled in the pain management program between September 2007 and August 2008. Patient identifiers were removed from data collection tools to protect subjects' identity.

Methods: Medical records were used to collect data on patients enrolled in the pain management program and compared two time periods for each patient: 1) the year before pain management program enrollment and 2) the year after enrollment. Data abstraction included number of emergency visits, chief pain complaints, reasons for enrollment to program, and interventions applied through program. Data were analyzed using descriptive statistics and paired t-tests.

Results/Outcomes: Preliminary findings show a reduction in emergency department visits for 99.9 % of pain management program participants. Mean annual visits for the subject pool pre-enrollment was 40.8 (SD 67.7) and post-enrollment 6.9 (SD 8.7). This was a statistically significant difference using a paired t-test (t= 3.75, P =0.000). The intervention applied most frequently through the program was restriction of narcotic medications (88%). After enrollment, 62% of subjects received a primary care referral and 28% received referrals to specialists including addiction counselors, neurologists and orthopedic physicians.

Implications: This program gives health care professionals a structure to identify and manage patients with chronic pain or pain-related complaints through coordination of care with a primary physician. Enrollment in the program supports individualized plans of care to ensure pain treatment and reduces repetitive and, potentially, ineffective ED visits. This can reduce emergency departments' burdens of time, costs, and employee stress.

Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReducing Multiple ED Visits with a Pain Management Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162572-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Reducing Multiple ED Visits with a Pain Management Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Masterson, Bat, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kootenai Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Case Manager</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2003 Kootenai Health Way, Coeur d'Alene, ID, 83814, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bmasterson@kmc.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marian Wilson, RN, MPH, CHPN</td></tr><tr><td colspan="2" class="item-abstract">Leadership Conference - Research Abstract: Reducing Multiple ED Visits with a Pain Management Program<br/><br/>Purpose: Drug-seeking behavior, doctor shopping and pharmacy scams are concerns for emergency departments as they seek to treat legitimate pain without enabling the inappropriate use of prescription drugs. This study sought to determine whether a pain management program could reduce multiple emergency department visits for pain-related complaints and ensure that patients receive consistent treatment that addressed their healthcare needs.<br/><br/>Design: A retrospective IRB-approved program evaluation study. <br/><br/>Setting: A 280-bed not-for-profit, community-based, district hospital in the Northwest with 48,000 ED visits annually.<br/><br/>Participants/Subjects: Planned subjects are 130 patients who were enrolled in the pain management program between September 2007 and August 2008. Patient identifiers were removed from data collection tools to protect subjects' identity.<br/><br/>Methods: Medical records were used to collect data on patients enrolled in the pain management program and compared two time periods for each patient: 1) the year before pain management program enrollment and 2) the year after enrollment. Data abstraction included number of emergency visits, chief pain complaints, reasons for enrollment to program, and interventions applied through program. Data were analyzed using descriptive statistics and paired t-tests. <br/><br/>Results/Outcomes: Preliminary findings show a reduction in emergency department visits for 99.9 % of pain management program participants. Mean annual visits for the subject pool pre-enrollment was 40.8 (SD 67.7) and post-enrollment 6.9 (SD 8.7). This was a statistically significant difference using a paired t-test (t= 3.75, P =0.000). The intervention applied most frequently through the program was restriction of narcotic medications (88%). After enrollment, 62% of subjects received a primary care referral and 28% received referrals to specialists including addiction counselors, neurologists and orthopedic physicians.<br/><br/>Implications: This program gives health care professionals a structure to identify and manage patients with chronic pain or pain-related complaints through coordination of care with a primary physician. Enrollment in the program supports individualized plans of care to ensure pain treatment and reduces repetitive and, potentially, ineffective ED visits. This can reduce emergency departments' burdens of time, costs, and employee stress.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:30:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:30:27Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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