A TeamSTEPPS Approach to Improving the Pain Experience of Obstetric Patients

Poster PresentationPurpose for the ProgramTo improve the pain experience of obstetric patients during the inpatient care continuum.Proposed ChangeTo improve pain management as measured by our patients by utilizing a TeamSTEPPS‐based approach through strategic use of technology to standardize pain management practices and medication regimens that account for transitions in care and common sources of pain.Implementation, Outcomes, and EvaluationA multidisciplinary team created computerized pain management order sets. These sets were used to standardize pain medications while taking into account the mode of birth (cesarean vs. vaginal), transitions in care (operating room to postanesthesia care unit and labor and delivery to postpartum), and medication pharmacokinetics to ensure proper timing of medication administration and reduce common medication errors.A multidisciplinary pain task force was created. This group designed and implemented a pain survey used to interview patients during hospitalization. Feedback was used to identify future interventions. Real‐time pain scores were made readily available to caregivers by displaying them on commonly used electronic screens. Additionally, pain rounds and focused event reviews were conducted. TeamSTEPPS concepts were applied.Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Press Ganey (PG) data comparing Q2 2013 (the quarter preceding TeamSTEPPS training) versus Q2 2014 (the most recent intervention)...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - Category: Nursing Authors: Tags: Childbearing Source Type: research