Hospital consumer assessment of healthcare providers and systems scores relating to pain following the incorporation of clinical pharmacists into patient education prior to joint replacement surgery

Authors

Erik Hefti, Harrisburg University of Science and TechnologyFollow
Michael Remington
Charles Lavallee

Document Type

Article

Publication Date

12-18-2017

Abstract

Background: Pharmacist involvement has been shown to improve various aspects of patient care. Patients undergoing knee and hip replacement surgery generally experience post-operative pain and discomfort. Pain control can impact patient satisfaction, as reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.

Objective: The current pilot study aims to measure the potential impact that incorporating pharmacists into preoperative patient education programs has on the response to select HCAHPS questions.

Methods: Patient responses to two select HCAHPS questions related to pain were recorded for a year prior to pharmacist involvement in a comprehensive preoperative patient education program (2012) and a year after pharmacists became actively involved (2013).

Results: In all reporting surgical patients, there was a modest 3.68% improvement in mean scores reflecting patient’s feelings that hospital staff did “everything they could” to attend to their pain (mean₂₀₁₂=3.66, SD=0.63 versus mean₂₀₁₃=3.80, SD=0.43, p=0.018, Mann-Whitney U test). There was a non-significant 2.98% improvement in scores reflecting the level that pain was “well controlled” (mean₂₀₁₂=3.54, SD=0.651 versus mean₂₀₁₃=3.65, SD=0.554, p=0.069, Mann-Whitney U test) in surgical patients.

Conclusion: The results suggest comprehensive pharmacist involvement in patient education prior to joint replacement surgery may impact HCAHPS scores related to pain control. While the observed potential improvements were modest, the current results justify larger, multi-institution prospective studies to better elucidate the impact pharmacists can have on pain management in patients undergoing joint replacement.

Recommended Citation

Hefti, E., Remington, M., & Lavallee, C. (2017). Hospital consumer assessment of healthcare providers and systems scores relating to pain following the incorporation of clinical pharmacists into patient education prior to joint replacement surgery. Pharmacy Practice, 15 (4), 1071-1075. ">https://doi.org/https://doi.org/10.12345/PharmPract.2017.4.1071

Publication Title

Pharmacy Practice

Start Page No.

1071

End Page No.

1075

ISSN

1886-3655

DOI

https://doi.org/10.12345/PharmPract.2017.4.1071

Comments

Published under CC-BY-NC-ND