PDF(Pubmed)
Abstract：
The goal of this study was an assessment of availability postoperative pain management quality measures and National Quality Forum-endorsed measures. Postoperative pain is an important clinical timepoint because poor pain control can lead to patient suffering, chronic opiate use, and/or chronic pain. Quality measures can guide best practices, but it is unclear whether there are measures for managing pain after surgery.
The National Quality Forum Quality Positioning System, Agency for Healthcare Research and Quality Indicators, and Centers for Medicare and Medicaid Services Measures Inventory Tool databases were searched in November 2019. We conducted a systematic literature review to further identify quality measures in research publications, clinical practice guidelines, and gray literature for the period between March 11, 2015 and March 11, 2020.
Our systematic review yielded 1,328 publications, of which 206 were pertinent. Nineteen pain management quality measures were identified from the quality measure databases, and 5 were endorsed by National Quality Forum. The National Quality Forum measures were not specific to postoperative pain management. Three of the non-endorsed measures were specific to postoperative pain.
The dearth of published postoperative pain management quality measures, especially National Quality Forum-endorsed measures, highlights the need for more rigorous evidence and widely endorsed postoperative pain quality measures to guide best practices.
The National Quality Forum Quality Positioning System, Agency for Healthcare Research and Quality Indicators, and Centers for Medicare and Medicaid Services Measures Inventory Tool databases were searched in November 2019. We conducted a systematic literature review to further identify quality measures in research publications, clinical practice guidelines, and gray literature for the period between March 11, 2015 and March 11, 2020.
Our systematic review yielded 1,328 publications, of which 206 were pertinent. Nineteen pain management quality measures were identified from the quality measure databases, and 5 were endorsed by National Quality Forum. The National Quality Forum measures were not specific to postoperative pain management. Three of the non-endorsed measures were specific to postoperative pain.
The dearth of published postoperative pain management quality measures, especially National Quality Forum-endorsed measures, highlights the need for more rigorous evidence and widely endorsed postoperative pain quality measures to guide best practices.
摘要：
这项研究的目的是评估术后疼痛管理质量措施和国家质量论坛认可的措施的可用性。术后疼痛是一个重要的临床时间点，因为疼痛控制不良会导致患者痛苦。长期使用阿片类药物，和/或慢性疼痛。质量措施可以指导最佳实践，但目前尚不清楚是否有控制手术后疼痛的措施。
全国质量论坛质量定位系统,医疗保健研究和质量指标机构，2019年11月搜索了医疗保险和医疗补助服务中心的库存工具数据库。我们进行了系统的文献综述，以进一步确定研究出版物中的质量衡量标准，临床实践指南，以及2015年3月11日至2020年3月11日期间的灰色文献。
我们的系统综述产生了1328篇出版物，其中206是相关的。从质量测量数据库中确定了19项疼痛管理质量测量，和5得到了国家质量论坛的认可。国家质量论坛措施并非针对术后疼痛管理。其中三项未经认可的措施是针对术后疼痛的。
缺乏已发表的术后疼痛管理质量措施，特别是国家质量论坛认可的措施，强调需要更严格的证据和广泛认可的术后疼痛质量措施来指导最佳实践。
全国质量论坛质量定位系统,医疗保健研究和质量指标机构，2019年11月搜索了医疗保险和医疗补助服务中心的库存工具数据库。我们进行了系统的文献综述，以进一步确定研究出版物中的质量衡量标准，临床实践指南，以及2015年3月11日至2020年3月11日期间的灰色文献。
我们的系统综述产生了1328篇出版物，其中206是相关的。从质量测量数据库中确定了19项疼痛管理质量测量，和5得到了国家质量论坛的认可。国家质量论坛措施并非针对术后疼痛管理。其中三项未经认可的措施是针对术后疼痛的。
缺乏已发表的术后疼痛管理质量措施，特别是国家质量论坛认可的措施，强调需要更严格的证据和广泛认可的术后疼痛质量措施来指导最佳实践。
