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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
December 15, 2023 - medication
management workflow using four specific strategies:
yearly urine toxicology screening, the Pain … then shifed the focus of the
project to improving care for patients prescribed opioids for
chronic pain … level (P) as well as how much pain has
interfered with enjoyment of life (E) and general … /pain-assessment-resources-professionals
https://www.painconsortium.nih.gov/resource-library/pain-assessment-resources-professionals … a reminder to clinicians to complete:
The Patient-Provider Opioid Treatment Conversation Tool; The Pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
May 01, 2017 - for an in situ simulation for Severe Abdominal Pain/VBAC. … “I’ve got pain in my shoulder.” “Should I get an epidural?” … Partner asks nurse for pain medication for his wife. … Distractors
Patient continues to call out from pain on left side, never stops. … “I’ve got pain in my shoulder.” “Should I get an epidural?”
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ce.effectivehealthcare.ahrq.gov/opioids/data/stat-briefs.html
February 01, 2024 - presents estimates of fills of prescriptions for opioid medications that are commonly used to treat pain … presents estimates of fills of prescriptions for opioid medications that are commonly used to treat pain … presents estimates of fills of prescriptions for opioid medications that are commonly used to treat pain … presents estimates of fills of prescriptions for opioid medications that are commonly used to treat pain … Household Component of fills of prescriptions for opioid medications that are commonly used to treat pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/ahcpsample.pdf
September 01, 2012 - Chest pain
NITROGLYCERIN
0.4 mg
1 pill every 5
minutes
(if need more
than 3 pills, call … Chest Pain
When are my appointments?
Wednesday,
August 8
at 11:30 a.m. … 18 19 20 21 22
23 24 25 26 27 28 29
30
10
My Medical Problem:
Noncardiac Chest
Pain … Noncardiac chest pain is pain that is not caused by a heart
problem. … If your chest pain gets different or worse, call your
doctor.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - Yes
¨¨ ¨ Fever of 100°F (38°C) or
repeated temperatures
of 99°F (37°C)*
¨¨ ¨ New back or flank pain … ¨¨ ¨ Acute pain
¨¨ ¨ Rigors /shaking chills
¨¨ ¨ New dramatic change in
mental status
¨¨ ¨ Hypotension … temperature of 100°F (38°C)
and at least one new or worsening of the following:
¨¨ urgency ¨ suprapubic pain … ¨¨ frequency ¨ gross hematuria
¨¨ back or flank pain ¨ urinary incontinence
OR
¨¨ ¨ 3. … No fever, but two or more of the following symptoms:
¨¨ urgency ¨ suprapubic pain
¨¨ frequency ¨ gross
-
ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
June 01, 2018 - Nursing home residents with moderate to severe pain. … Moderate to Severe Pain Among Nursing Home Residents
Pain management is a particularly important clinical … Poorly managed pain can decrease resident quality of life, reduce mobility and functional status, and … Importance: Failure to identify the presence of pain or to assess its severity and functional impact … Overall Rate: In 2013, 10.0% of nursing home residents had moderate to severe pain.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
December 01, 2022 - J Nurs Care Qual 2019;34(1):86-90.
16
Case Study #2: Improving Pain Management
Engagement
Goal: … • To engage patients and families in
conversations about pain
management to improve effectiveness … of pain treatment. … question: "Did staff do everything they could to manage your
child's pain?" … Leveraging Interactive Patient Care Technology to
Improve Pain Management Engagement.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.pptx
March 13, 2017 - □ New onset confusion/functional decline AND increased leukocytosis*
□ New costovertebral angle pain … or tenderness
□ New or increased suprapubic pain or tenderness
□ Acute pain, tenderness, or swelling … or tenderness
□ New or increased suprapubic pain or tenderness
□ Acute pain, tenderness, or swelling … or tenderness
□ New or increased suprapubic pain or tenderness
□ Acute pain, tenderness, or swelling … or tenderness
□ New or increased suprapubic pain or tenderness
□ Acute pain, tenderness, or swelling
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - [service line] surgery patients is highly variable for:
Preoperative education
Plan for anesthesia
Pain … Multimodal Pain Management
Process for patients receiving multimodal pain management
Regional analgesia … early and consistent mobility
Documentation strategy
Diet
Process for diet advancement
Multimodal Pain … Management
Process for multimodal pain management
VTE Prophylaxis
Process for patients to receive VTE … early and consistent mobility
Documentation strategy
Diet
Process for diet advancement
Multimodal Pain
-
ce.effectivehealthcare.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - Older adults have a high prevalence of chronic pain and are especially vulnerable to adverse events from … centered outcomes research (PCOR) for patients who have multiple co-morbid conditions that include pain … related to opioids and other substance use disorders
Toward Safer Opioid Prescribing for Chronic Pain … Optimizing Acute Post-Operative Dental Pain Management Using New Health Information Technology. … Improving quality of postoperative pain care through innovative use of electronic health records.
-
ce.effectivehealthcare.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/antibiotic-tool.html
September 01, 2017 - Urgency
Urgency
Frequency
Frequency
Suprapubic pain
Suprapubic pain
Gross hematuria
Gross … Urgency
Urgency
Frequency
Frequency
Suprapubic pain
Suprapubic pain
Gross hematuria
Gross … For discomfort
or prior to cleaning/dressing changes, use acetaminophen or other pain … For discomfort,
consider using acetaminophen or other pain reliever. … For discomfort,
consider using acetaminophen or other pain reliever.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - [service line] surgery patients is highly variable for:
Preoperative education
Plan for anesthesia
Pain … Multimodal Pain Management
Process for patients receiving multimodal pain management
Regional analgesia … early and consistent mobility
Documentation strategy
Diet
Process for diet advancement
Multimodal Pain … Management
Process for multimodal pain management
VTE Prophylaxis
Process for patients to receive VTE … early and consistent mobility
Documentation strategy
Diet
Process for diet advancement
Multimodal Pain
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - Findings
• Venous stasis dermatitis: skin pigmentation, edema, serous drainage, itching,
minimal pain … history of disruption of lymphatic drainage): redness
improves with elevation; minimal warmth or pain … • Peripheral arterial disease: redness goes away with elevation; can have pain but no
warmth
• Gout
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/ahcpsample.docx
September 01, 2012 - Chest pain
NITROGLYCERIN
0.4 mg
1 pill every 5 minutes
(if need more than 3 pills, call 911)
Under … Chest Pain
When are my appointments?
Wednesday,
August 8
at 11:30 a.m. … 19
20
21
22
23
24
25
26
27
28
29
30
My Medical Problem:
Noncardiac Chest Pain … Noncardiac chest pain is pain that is not caused by a heart problem … · If your chest pain gets different or worse, call your doctor.
· Take your medicines as prescribed
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Prevalence of Chronic Pain and High-Impact Chronic Pain Among
Adults — United States, 2016.Atlanta, … • Pain and functional assessment. … Documentation
of the presence
of pain and the
source and/or
cause of pain
increased
significantly … specialists;
EHR templates
for chronic pain;
and chronic
pain and opioid
prescribing
policy. … Significant
improvements
were also noted
in
documentation
of pain, pain
treatment, and
pain followup
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - Examples include patient and family education, use of multimodal pain management, avoidance of drains … resistance, faster return of bowel function, decreased length of stay, decreased opioid use, decreased pain … The postoperative interventions resulted in decreased pain, decreased postoperative nausea and vomiting … decreased complications (wound, cardiovascular, and reoperation), decreased length of stay, decreased pain … Reg Anesth Pain Med. 2019. doi:10.1136/rapm - 2018 - 100071.
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/887.html
October 01, 2023 - Register Now for Nov. 30 Evidence-based Practice Center Program Grand Rounds on Pain Management . … is open for an AHRQ Evidence-based Practice Center (EPC) Program Grand Rounds on pain management. … Nonopioid Pharmacologic Treatments for Chronic Pain . … Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain . … Disease Control and Prevention estimates 50 million adults in the United States have chronic daily pain
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/ahcpsample.pdf
September 01, 2012 - Chest pain
NITROGLYCERIN
0.4 mg
1 pill every 5
minutes
(if need more
than 3 pills, call … Chest Pain
When are my appointments?
Wednesday,
August 8
at 11:30 a.m. … 18 19 20 21 22
23 24 25 26 27 28 29
30
10
My Medical Problem:
Noncardiac Chest
Pain … Noncardiac chest pain is pain that is not caused by a heart
problem. … If your chest pain gets different or worse, call your
doctor.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
June 01, 2023 - the Discussion of Challenging Topics
Many people are embarrassed to ask important questions about pain … Another area of concern is pain medication. … Some people are afraid to take any opioids, while others worry they won’t get enough to control their pain … Find out what each patient is concerned about regarding pain and medications. … Reassure them that your team will personalize their pain management.
-
ce.effectivehealthcare.ahrq.gov/challenges/past/step-up-app/index.html
January 01, 2022 - Second Place
PEER Technologies
PEER Technologies PLLC’s application named “Back Pain Tracker” is … a tool to enhance the shared decision making process for patients with chronic low back pain and their … System (PROMIS), and risk factor identification from the NIH Research Standards for Chronic Low Back Pain … voice recognition using AI; FDA-linked databases for medication-tracking functions, body maps, and pain … Patients easily enter PRO data regarding non-specific low back pain and are presented with comprehendible