Development and application of an electronic health record information extraction tool to assess quality of pain management in primary care
Development and application of an electronic health record information extraction tool to assess quality of pain management in primary care
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DOI：
10.1007/s13142-014-0260-5
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发表时间：
2014-06-01
影响因子：
3.6
通讯作者：
Kerns, R. D.
中科院分区：
文献类型：
--
作者：
Dorflinger, L. M.;Gilliam, W. P.;Kerns, R. D.
慢性疼痛是初级保健中最常见的问题之一。标准和指南已经制定了管理慢性疼痛，但目前还不清楚初级保健提供者是否经常从事指南一致的护理。本研究的目的是开发一种工具，用于提取信息的质量疼痛护理在初级保健设置。质量指标是通过文献回顾，疼痛专家的跨学科小组的投入，和试点测试。一个全面的编码手册，并建立了评分员之间的可靠性。最后的工具包括12个二分评分指标评估质量和文件的疼痛护理在三个领域：评估，治疗和重新评估。存在的指标差别很大。该工具是可靠的，可用于收集有关疼痛管理在初级保健设置的有价值的信息。
Chronic pain is one of the most common presenting problems in primary care. Standards and guidelines have been developed for managing chronic pain, but it is unclear whether primary care providers routinely engage in guideline-concordant care. The purpose of this study is to develop a tool for extracting information about the quality of pain care in the primary care setting. Quality indicators were developed through review of the literature, input from an interdisciplinary panel of pain experts, and pilot testing. A comprehensive coding manual was developed, and inter-rater reliability was established. The final tool consists of 12 dichotomously scored indicators assessing quality and documentation of pain care in three domains: assessment, treatment, and reassessment. Presence of indicators varied widely. The tool is reliable and can be utilized to gather valuable information about pain management in the primary care setting.