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Tues-47 - Improving Compliance of Pain Management Algorithm Among Emergency Medicine Physicians in Emergency Department, Hamad General Hospital, Qatar.

Scientific Poster Session IV - Advances in International Clinical Pharmacy, Education or Training

Advances in International Clinical Pharmacy Practice, Education, or Training
  Tuesday, November 14, 2023
  08:30 AM–10:00 AM

Abstract

Service or Program:

Pain is one of the top reasons for emergency visits Pain management is one of the most important components in patient care, (ED) is a hyperactive area where a lot of factors may play a role in pain treatment within an acceptable time frame. The use of a standard pain assessment tool and a standard pain management guideline are the key components in achieving a timely and appropriate pain management to each patient, In HGH ED we have Evidence based clinical algorithm (EBCA) pain management guidelines which summarize the treatment options based on the pain score.

Justification/Documentation:

observational retrospective audit for adult patients visited HGH ED with acute pain showed that a median of 13% of the patients were appropriately treated according the available EBCA. Surveying the reasons of noncompliance revealed unawareness about the EBCA, difficulty in accessing it and the EBCA wasn’t not up to date, this project rational is to update the EBCA and promote for its use.

our aim was to improve the compliance percentage with the acute pain management EBCA in ED to at least 50% from (September -December) 2022 shared with ED leaders.

Adaptability:

multiple interventions were done: Results of the audit were also summarized and hanged on ED Clinical pharmacy board in ED, Updated EBCA approved and publish in August 2022, Inservice awareness given to physicians by clinical pharmacists in ED units, clinical pharmacists intervene with pain treatment options to encourage the adherence to the new EBCA.

and as a result of the model of improvement and PDSA cycles we were able to achieve a median compliance of 53% and a monthly compliance more than our target 50%.

Significance:

With the collaboration between clinical pharmacy section, ED physicians and ED leadership we were able to update the pain management EBCA, improve the awareness and compliance.

Presenting Author

Sara Nazzal PharmD
Hamad Medical Corporation

Authors

Asmaa Mohamed MSc
Hamad Medical Corporation

Ibtisam Musameh PharmD
Hamad medical corporation

Rama Chatila Pharm D
Hamad medical corporation

Rana Elsyaed emergency medicine consultant
Hamad medical corporation

Rawan Salameh PharmD
Hamad Medical Corporation