| Tracking the effects of policy changes in prescribing analgesics in one emergency department: a 10-year analysis. | |
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MedLine Citation:
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PMID: 19491688 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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According to the WHO, the yearly national consumption of opioids is one indicator of a country's investment on relieving moderate-to-severe pain. We implemented guidelines for treatment of pain in our emergency department (ED) and tracked the major analgesics used in this ED to monitor trends in pain management over a decade. The study was carried out in a Level I trauma center ED. Data were obtained from the pharmacy's computerized records before (1998-2002) and after (2003-2007) implementing the guidelines. The hospital's admission system provided accurate patient census data. Parenteral morphine and oral oxycodone use increased significantly (P = 0.016 and P = 0.008, respectively). Meperidine use did not change. In conclusion, our ED patients are now generally receiving more analgesics than 10 years ago. Electronically stored data on analgesics are accurate and easily accessible for tracking the nature and quantity of prescriptions, but not for correlating their association with patient outcome. |
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Authors:
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Ruth Zaslansky; Devora Hertz; Silviu Brill; Jacob Or; Winfried Meissner; Pinchas Halpern |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European journal of emergency medicine : official journal of the European Society for Emergency Medicine Volume: 17 ISSN: 1473-5695 ISO Abbreviation: Eur J Emerg Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2009-12-23 Completed Date: 2010-03-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9442482 Medline TA: Eur J Emerg Med Country: England |
Other Details:
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Languages: eng Pagination: 56-8 Citation Subset: IM |
Affiliation:
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Friedrich Schiller University Jena, Department of Anesthesia and Intensive Care, Erlanger Allee 101, 07747 Jena, Germany. ruth.zaslansky@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Analgesics, Opioid / administration & dosage, therapeutic use* Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Emergencies Emergency Medical Services / methods, organization & administration Emergency Service, Hospital / organization & administration* Guideline Adherence* Humans Injections, Intravenous Medical Audit Meperidine / therapeutic use Morphine / therapeutic use Oxycodone / therapeutic use Pain / drug therapy* Pain Measurement |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 0/Anti-Inflammatory Agents, Non-Steroidal; 57-27-2/Morphine; 57-42-1/Meperidine; 76-42-6/Oxycodone |
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