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Hosp Pediatr. 2018 Sep;8(9):588-592. doi: 10.1542/hpeds.2018-0096. Epub 2018 Aug 16.

Linking Pediatrics Patients and Nurses With the Pharmacy and Electronic Health Record System Through the Inpatient Television: A Novel Interactive Pain-Management Tool.

Author information

1
Institute for Health Informatics, and.
2
MIELU, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
3
Departments of Surgery and.
4
Clinical and Translational Science Institute, University of Minnesota, Minneapolis, Minnesota; and.
5
Pediatrics, mbpitt@umn.edu.

Abstract

OBJECTIVES:

Implement a novel pain-management interface that is used to bring real-time, patient-reported pain assessments to the inpatient television and evaluate the impact of implementation on the pain-management clinical workflow, patient engagement, and nursing pain reassessments.

METHODS:

We developed a pain-management tool interfacing 4 stand-alone technologies: a television-based, interactive patient care system; electronic health record system; nursing call system; and pharmacy inventory-management system. The workflow is triggered when pain medications are dispensed by sending an automatic pain assessment rating question via the patient's television at a predefined time. To measure the effects of implementation, we calculated patient and/or parent use rates and pain reassessment timely documentation rates. Data were extracted from the electronic health record for a period of 22 months and covered pre- and postimplementation.

RESULTS:

A total of 56 931 patient records were identified during the study period, representing 2447 unique patients. In total, 608 parents and/or patients reported their pain through the tool. Use rates were 6.5% for responding to the pain rating prompt and 13.3% for the follow-up prompt, in which additional nonpharmacologic strategies to eliminate pain were offered. A modest increase was found in the mean timely documentation rates on the basis of nursing documentation standards (26.1% vs 32.8%, a percentage increase of 25.7%; P < .001) along with decreased median time to pain reassessment documentation (29 minutes versus 25 minutes, a percentage decrease of 13.8%; P < .001).

CONCLUSIONS:

With this novel tool, we offer a potentially scalable approach in supporting the pain-management clinical workflow, integration of technologies, and promoting of patient and/or parent engagement in the inpatient setting.

PMID:
30115680
PMCID:
PMC6226310
DOI:
10.1542/hpeds.2018-0096
[Indexed for MEDLINE]
Free PMC Article

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