Blonk Kristin M, Davenport Ashley, Morgan Brett, Muckler Virginia C
J Perianesth Nurs. 2019 Feb;34(1):143-150. doi: 10.1016/j.jopan.2018.03.007. Epub 2018 Jun 20.
This quality improvement project aimed to change the practice of administration route of acetaminophen from intravenous (IV) to oral to patients having a hysterectomy at a community hospital, reduce costs, and maintain postanesthesia care unit pain scores for patients who receive oral acetaminophen comparable to those who receive IV acetaminophen.
There were 46 participants: 23 in the preintervention group and 23 in the postintervention group.
Data retrieved from the electronic medical record included the route of acetaminophen administered, cost, and pain scores.
Implementation of this quality improvement project resulted in no difference in the pain scores between the preintervention and postintervention groups (P = .637). In addition, the hospital cost for acetaminophen decreased 95.25% and patients saved $6,683 during the 3-month implementation period.
The administration of oral acetaminophen provided equivalent postoperative analgesia compared with IV acetaminophen and reduced costs for both the hospital and patients.
本质量改进项目旨在改变社区医院子宫切除患者对乙酰氨基酚的给药途径，从静脉注射改为口服，降低成本，并使接受口服乙酰氨基酚的患者在麻醉后护理单元的疼痛评分与接受静脉注射乙酰氨基酚的患者相当。
共有46名参与者，干预前组23名，干预后组23名。
从电子病历中检索的数据包括乙酰氨基酚的给药途径、成本和疼痛评分。
该质量改进项目的实施使干预前组和干预后组的疼痛评分无差异（P = 0.637）。此外，在3个月的实施期内，乙酰氨基酚的医院成本下降了95.25%，患者节省了6683美元。
与静脉注射乙酰氨基酚相比，口服乙酰氨基酚提供了等效的术后镇痛效果，并降低了医院和患者的成本。
