TY - JOUR
T1 - Treating and reducing anxiety and pain in the paediatric emergency department - TIME for ACTION - The TRAPPED quality improvement collaborative
AU - the Pediatric Emergency Research Canada Pain Interest Group
AU - Trottier, Evelyne D.
AU - Ali, Samina
AU - Thull-Freedman, Jennifer
AU - Meckler, Garth
AU - Stang, Antonia
AU - Porter, Robert
AU - Blanchet, Mathieu
AU - Dubrovsky, Alexander Sasha
AU - Kam, April
AU - Jain, Raagini
AU - Principi, Tania
AU - Joubert, Gary
AU - Le May, Sylvie
AU - Chan, Melissa
AU - Neto, Gina
AU - Lagacé, Maryse
AU - Gravel, Jocelyn
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2018/7/18
Y1 - 2018/7/18
N2 - Background/Objectives: In 2013, the TRAPPED-1 survey reported inconsistent availability of pain and distress management strategies across all 15 Canadian paediatric emergency department (PEDs). The objective of the TRAPPED-2 study was to utilize a procedural pain quality improvement collaborative (QIC) and evaluate the number of newly introduced pain and distress-reducing strategies in Canadian PEDs over a 2-year period. Methods: A QIC was created to increase implementation of new strategies, through collaborative information sharing among PEDs. In 2015, 11 of the 15 Canadian PEDs participated in the TRAPPED QIC. At the end of the year, the TRAPPED-2 survey was electronically sent to a representative member at each of the 15 PEDs. The successful introduction of the chosen strategies by the QIC was assessed as well as the addition of new strategies per site. The number of new strategies introduced in the participating and nonparticipating QIC sites were described. Results: All 15 PEDs (100%) completed the TRAPPED-2 survey. Overall, 10/11 of QIC-participating sites implemented the strategy they had initially identified. All 15 Canadian PEDs implemented some new strategies during the study period; participants in the QIC reported a mean of 5.2 (1-11) new strategies compared to 2.5 (1-4) in the nonactively participating sites. Conclusion: While all PEDs introduced new strategies during the study, QIC-participating sites successfully introduced the majority of their previously identified new strategies in a short time period. Sharing deadlines and information between centres may have contributed to this success.
AB - Background/Objectives: In 2013, the TRAPPED-1 survey reported inconsistent availability of pain and distress management strategies across all 15 Canadian paediatric emergency department (PEDs). The objective of the TRAPPED-2 study was to utilize a procedural pain quality improvement collaborative (QIC) and evaluate the number of newly introduced pain and distress-reducing strategies in Canadian PEDs over a 2-year period. Methods: A QIC was created to increase implementation of new strategies, through collaborative information sharing among PEDs. In 2015, 11 of the 15 Canadian PEDs participated in the TRAPPED QIC. At the end of the year, the TRAPPED-2 survey was electronically sent to a representative member at each of the 15 PEDs. The successful introduction of the chosen strategies by the QIC was assessed as well as the addition of new strategies per site. The number of new strategies introduced in the participating and nonparticipating QIC sites were described. Results: All 15 PEDs (100%) completed the TRAPPED-2 survey. Overall, 10/11 of QIC-participating sites implemented the strategy they had initially identified. All 15 Canadian PEDs implemented some new strategies during the study period; participants in the QIC reported a mean of 5.2 (1-11) new strategies compared to 2.5 (1-4) in the nonactively participating sites. Conclusion: While all PEDs introduced new strategies during the study, QIC-participating sites successfully introduced the majority of their previously identified new strategies in a short time period. Sharing deadlines and information between centres may have contributed to this success.
KW - Paediatric emergency
KW - Pain management
KW - Quality improvement collaborative
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U2 - 10.1093/pch/pxx186
DO - 10.1093/pch/pxx186
M3 - Article
AN - SCOPUS:85055703647
SN - 1205-7088
VL - 23
SP - e85-e94
JO - Paediatrics and Child Health (Canada)
JF - Paediatrics and Child Health (Canada)
IS - 5
ER -