Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit

Hsiu Chuan Lai, Ya Huei Chen, Yi Jene Li, Hui Mei Huang, Chien Hua Tseng, Ming Cheng Chan

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Patients with respiratory failure needing mechanical ventilation are common in the intensive care unit. These patients often require sedative and analgesic agents to alleviate their discomfort and to avoid causing associated safety issues. However, prolonged post-awakening confusion and changes in perception after withdrawal from sedatives and analgesic agents are common in daily practice. Thus, the optimal use of sedative and analgesic agents remains an important issue in the intensive care unit.

PURPOSE: To optimize sedation by raising the rate of accuracy for administering analgesic and sedative agents in the intensive care unit from 30.44% to 60.88%.

METHODS: We first analyzed the problem from the current situation of the daily practice and revised the protocol of using analgesic and sedative agents. In order to achieve an optimal outcome, the authors further arranged staff education and bedside training and established an audit system to check and improve protocol adherence.

RESULTS: The rate of accuracy for administering sedatives and analgesics improved from 34% to 93%.

CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety.

Original languageEnglish
Pages (from-to)77-84
Number of pages8
JournalHu li za zhi The journal of nursing
Volume64
Issue number6
DOIs
Publication statusPublished - Dec 1 2017
Externally publishedYes

Fingerprint

Hypnotics and Sedatives
Intensive Care Units
Analgesics
Confusion
Pain Measurement
Critical Care
Patient Safety
Artificial Respiration
Respiratory Insufficiency
Nurses
Safety
Education

Keywords

  • accuracy rate
  • analgesics and sedatives
  • intensive care unit (ICU)

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit. / Lai, Hsiu Chuan; Chen, Ya Huei; Li, Yi Jene; Huang, Hui Mei; Tseng, Chien Hua; Chan, Ming Cheng.

In: Hu li za zhi The journal of nursing, Vol. 64, No. 6, 01.12.2017, p. 77-84.

Research output: Contribution to journalArticle

Lai, Hsiu Chuan ; Chen, Ya Huei ; Li, Yi Jene ; Huang, Hui Mei ; Tseng, Chien Hua ; Chan, Ming Cheng. / Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit. In: Hu li za zhi The journal of nursing. 2017 ; Vol. 64, No. 6. pp. 77-84.
@article{2f40a744d6c0443aab7b8ae520cfe5f1,
title = "Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit",
abstract = "BACKGROUND: Patients with respiratory failure needing mechanical ventilation are common in the intensive care unit. These patients often require sedative and analgesic agents to alleviate their discomfort and to avoid causing associated safety issues. However, prolonged post-awakening confusion and changes in perception after withdrawal from sedatives and analgesic agents are common in daily practice. Thus, the optimal use of sedative and analgesic agents remains an important issue in the intensive care unit.PURPOSE: To optimize sedation by raising the rate of accuracy for administering analgesic and sedative agents in the intensive care unit from 30.44{\%} to 60.88{\%}.METHODS: We first analyzed the problem from the current situation of the daily practice and revised the protocol of using analgesic and sedative agents. In order to achieve an optimal outcome, the authors further arranged staff education and bedside training and established an audit system to check and improve protocol adherence.RESULTS: The rate of accuracy for administering sedatives and analgesics improved from 34{\%} to 93{\%}.CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety.",
keywords = "accuracy rate, analgesics and sedatives, intensive care unit (ICU)",
author = "Lai, {Hsiu Chuan} and Chen, {Ya Huei} and Li, {Yi Jene} and Huang, {Hui Mei} and Tseng, {Chien Hua} and Chan, {Ming Cheng}",
year = "2017",
month = "12",
day = "1",
doi = "10.6224/JN.000085",
language = "English",
volume = "64",
pages = "77--84",
journal = "Journal of Nursing",
issn = "0047-262X",
publisher = "台灣護理學會",
number = "6",

}

TY - JOUR

T1 - Improving the Accuracy Rate of Analgesics and Sedatives Administration in an Intensive Care Unit

AU - Lai, Hsiu Chuan

AU - Chen, Ya Huei

AU - Li, Yi Jene

AU - Huang, Hui Mei

AU - Tseng, Chien Hua

AU - Chan, Ming Cheng

PY - 2017/12/1

Y1 - 2017/12/1

N2 - BACKGROUND: Patients with respiratory failure needing mechanical ventilation are common in the intensive care unit. These patients often require sedative and analgesic agents to alleviate their discomfort and to avoid causing associated safety issues. However, prolonged post-awakening confusion and changes in perception after withdrawal from sedatives and analgesic agents are common in daily practice. Thus, the optimal use of sedative and analgesic agents remains an important issue in the intensive care unit.PURPOSE: To optimize sedation by raising the rate of accuracy for administering analgesic and sedative agents in the intensive care unit from 30.44% to 60.88%.METHODS: We first analyzed the problem from the current situation of the daily practice and revised the protocol of using analgesic and sedative agents. In order to achieve an optimal outcome, the authors further arranged staff education and bedside training and established an audit system to check and improve protocol adherence.RESULTS: The rate of accuracy for administering sedatives and analgesics improved from 34% to 93%.CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety.

AB - BACKGROUND: Patients with respiratory failure needing mechanical ventilation are common in the intensive care unit. These patients often require sedative and analgesic agents to alleviate their discomfort and to avoid causing associated safety issues. However, prolonged post-awakening confusion and changes in perception after withdrawal from sedatives and analgesic agents are common in daily practice. Thus, the optimal use of sedative and analgesic agents remains an important issue in the intensive care unit.PURPOSE: To optimize sedation by raising the rate of accuracy for administering analgesic and sedative agents in the intensive care unit from 30.44% to 60.88%.METHODS: We first analyzed the problem from the current situation of the daily practice and revised the protocol of using analgesic and sedative agents. In order to achieve an optimal outcome, the authors further arranged staff education and bedside training and established an audit system to check and improve protocol adherence.RESULTS: The rate of accuracy for administering sedatives and analgesics improved from 34% to 93%.CONCLUSIONS: With appropriately scaled protocols of sedatives and analgesics administration, intensive care nurses may easily target the consistent and optimal assessment and provide pain relief prior to sedation, which will improve the quality of sedation and patient safety.

KW - accuracy rate

KW - analgesics and sedatives

KW - intensive care unit (ICU)

UR - http://www.scopus.com/inward/record.url?scp=85045095535&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045095535&partnerID=8YFLogxK

U2 - 10.6224/JN.000085

DO - 10.6224/JN.000085

M3 - Article

C2 - 29164549

AN - SCOPUS:85045095535

VL - 64

SP - 77

EP - 84

JO - Journal of Nursing

JF - Journal of Nursing

SN - 0047-262X

IS - 6

ER -