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Hip fracture care clinical care standard indicators: 2b-Proportion of hip fracture patients who have documented pain assessment within 30 minutes of emergency department presentation and either receive analgesia within this time or do not require it

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term Indicator 2b-Proportion of hip fracture patients who have documented pain assessment within 30 minutes of emergency department presentation and either receive analgesia within this time or do not require it
METeOR identifier:Help on this term696432
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of patients with a hip fracture who have a documented assessment of pain within 30 minutes of presentation to the emergency department and either receive analgesia within this time or do not require it according to the assessment.

Rationale:Help on this term

Acute pain and injury of various types are inevitably interrelated and if severe and prolonged, the injury response invoked in the patient becomes counterproductive and can have adverse effects on outcome (Macintyre et al. 2010).

Specific early analgesic interventions may reduce the incidence of chronic pain after surgery (Macintyre et al. 2010).

Indicator set:Help on this termClinical care standard indicators: hip fracture 2018 Australian Commission on Safety and Quality in Health Care, Standard 15/05/2018
Outcome area:Help on this termPain management Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Both the numerator and the denominator include patients admitted to hospital for a hip fracture, initially presenting to the emergency department with the fracture.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients admitted to hospital with a hip fracture, initially presenting to the emergency department, who have a documented assessment of pain within 30 minutes of presentation to the emergency department and either receive analgesia within this time frame or have documented in their medical record that they do not require analgesia at this point according to the assessment.

Denominator:Help on this term

Number of patients admitted to hospital with a hip fracture, initially presenting to the emergency department.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Macintyre PE, Scott DA, Schug SA, Visser EJ, Walker SM; Working Group of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine 2010. Acute Pain Management: Scientific Evidence 3rd edn, Melbourne: ANZCA & FPM.

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