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Volume 1 Supplement 1

Safety in Health

Assessment of postoperative pain management at a maxillofacial surgery ward

Background

Postoperative pain is common in patients at a maxillofacial surgery ward. Therefore, postoperative pain management turns out to be a great challenge for the medical staff [1]. We examined the effectiveness of the institutionally established pain management at a maxillofacial surgery ward via a patient survey during their hospitalization.

Material and methods

This study was designed as an open, observational, prospective trial. 18 male and 17 female patients older than 18 years were included. After obtaining informed consent, patients were asked to complete a specially designed questionnaire before their hospital discharge. Rest pain and maximum pain (highest pain within the last 24h) were self-accessed by patients using the 11-point numeric rating scale (NRS). Descriptive statistics were performed by CERTKOM e.V. and used to present the obtained data. Data are visualized using a star-qua representing 5 benchmarks: (I) "Pain control" summarizes stress pain, rest pain and maximum pain. (II) "Therapy effect" shows the efficiency of the medication. (III) "Therapy process" summarizes the application of analgesic, additional medication at heavy pain and the response time. (IV) "Information" for the patient's knowledge about his pain status and the countermeasures. (V) "Self-initiative" for the patient informing the medical staff.

Results

All 35 included patients (100%) received preoperatively an analgesic. Thereby, 3 patients (8.6%) were without pain at any time, but 32 patients (91.4%) still suffered from pain. the rest pain was higher than the well accepted limit of NRS 3 in 10 patients (28.6%). Looking at maximum pain, 11 patients (31.4%) even exceeded the significantly higher limit of NRS 6.

The overall quality of the pain management was measured with five benchmarks, as presented at Figure 1.

Figure 1
figure1

Star-qua plot representing the results of the 5 key parameters pain control, therapy effect, therapy process, information and self-initiative in postoperative maxillofacial surgery patients.

Conclusions

Postoperative pain management is well established at our maxillofacial surgery ward. Our collected survey data well agree with published data from other clinics. However, about one third of the patients still suffer from unacceptable high rest pain or maximum pain. Further improvements to reduce this for the patient unacceptable pain status are mandatory and already initiated.

References

  1. 1.

    The Quality of Pain Management in German Hospitals, Maier C, et al: Deutsches Ärzteblatt. 2010

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Author information

Correspondence to Birgit A Kiefer.

Additional information

Competing interests

There are no competing interests

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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Keywords

  • Pain Management
  • Medical Staff
  • Pain Status
  • Numeric Rating Scale
  • High Pain