Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department
Pain is one of commonest presentations at Emergency Department (ED). Previous studies showed inadequate pain control in ED. However, few have addressed specific, practical methods of improving the timeliness and frequency of pain control in emergency setting. This study was a randomized contro...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20612/ http://journalarticle.ukm.my/20612/1/11_ms0234_pdf_13236.pdf |
| _version_ | 1848815148530139136 |
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| author | Ng, Von How Ahmad Khaldun Ismail, Siti Sarah MZ, Ida Zarina Zaini, |
| author_facet | Ng, Von How Ahmad Khaldun Ismail, Siti Sarah MZ, Ida Zarina Zaini, |
| author_sort | Ng, Von How |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Pain is one of commonest presentations at Emergency Department (ED). Previous
studies showed inadequate pain control in ED. However, few have addressed
specific, practical methods of improving the timeliness and frequency of pain
control in emergency setting. This study was a randomized controlled trial in a
simulated environment of an actual functioning ED using a timer device to remind
care personnel to assess pain and provide analgesia at set intervals versus a “standard
therapy” group without visual/audio aids. The mean documentation performance
scores between timer and control groups were 94.45% + 5.85 vs 72.22% + 17.57
(p<0.05) respectively. The use of timer device did not appear to have any effect
on the timeliness of recording the first pain score observation following analgesia,
1.74 min + 0.41 (timer) vs 1.78 min + 0.82 (control) (p=0.89). The documentation
performance score showed 50% of the timer device group recorded only one
omission compared to 90% of control group recorded more than one omission.
The range of observations time for the control group is widespread (min: 4 minutes,
max: 36 minutes) compared to the intervention group (min: 11 minutes, max: 22
minutes). The median time intervals for pain score documentations per subject in
both groups were 15 minutes, however, the IQR in timer group was 1 compared to
7 in control group. In conclusion, the addition of timer device had the advantage
to improve documentation performance score and subsequently the serial pain
score documentation in ED. |
| first_indexed | 2025-11-15T00:45:22Z |
| format | Article |
| id | oai:generic.eprints.org:20612 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:45:22Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:206122022-11-28T13:03:37Z http://journalarticle.ukm.my/20612/ Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department Ng, Von How Ahmad Khaldun Ismail, Siti Sarah MZ, Ida Zarina Zaini, Pain is one of commonest presentations at Emergency Department (ED). Previous studies showed inadequate pain control in ED. However, few have addressed specific, practical methods of improving the timeliness and frequency of pain control in emergency setting. This study was a randomized controlled trial in a simulated environment of an actual functioning ED using a timer device to remind care personnel to assess pain and provide analgesia at set intervals versus a “standard therapy” group without visual/audio aids. The mean documentation performance scores between timer and control groups were 94.45% + 5.85 vs 72.22% + 17.57 (p<0.05) respectively. The use of timer device did not appear to have any effect on the timeliness of recording the first pain score observation following analgesia, 1.74 min + 0.41 (timer) vs 1.78 min + 0.82 (control) (p=0.89). The documentation performance score showed 50% of the timer device group recorded only one omission compared to 90% of control group recorded more than one omission. The range of observations time for the control group is widespread (min: 4 minutes, max: 36 minutes) compared to the intervention group (min: 11 minutes, max: 22 minutes). The median time intervals for pain score documentations per subject in both groups were 15 minutes, however, the IQR in timer group was 1 compared to 7 in control group. In conclusion, the addition of timer device had the advantage to improve documentation performance score and subsequently the serial pain score documentation in ED. Pusat Perubatan Universiti Kebangsaan Malaysia 2018-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20612/1/11_ms0234_pdf_13236.pdf Ng, Von How and Ahmad Khaldun Ismail, and Siti Sarah MZ, and Ida Zarina Zaini, (2018) Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department. Medicine & Health, 13 (2). pp. 114-121. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2 |
| spellingShingle | Ng, Von How Ahmad Khaldun Ismail, Siti Sarah MZ, Ida Zarina Zaini, Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title | Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title_full | Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title_fullStr | Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title_full_unstemmed | Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title_short | Randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an Emergency Department |
| title_sort | randomised controlled trial on the effectiveness of audible timed reminders for simulated serial pain score documentation in an emergency department |
| url | http://journalarticle.ukm.my/20612/ http://journalarticle.ukm.my/20612/ http://journalarticle.ukm.my/20612/1/11_ms0234_pdf_13236.pdf |