Sickle Cell Pain Management Database Implementation

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Sickle Cell Pain Management Database
Implementation

• Sarah Dehoney, Pharm.D.PGY-1 Pharmacotherapy
  Resident
• Medical University of South CarolinaCharleston,
  SC

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Background

• MUSC Sickle Cell Pain Crisis Management
• Large Sickle Cell patient population
• Admitted to Internal Medicine Service
• Areas for improvement
• Patient information dissemination
• Inconsistent documentation of pain medication
  regimens

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Research Goals

• Patient satisfaction will improve with initiation
  of the sickle cell database
• Time to pain control and number of hospital
  admissions will decrease after database
  initiation
• Physicians will utilize and express satisfaction
  with the database

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Study Objectives

• Primary
• To determine if sickle cell patients'
  satisfaction with respect to pain reduction and
  control will improve with the initiation of a
  sickle cell database
• Secondary
• To compare the following measures before and
  after database initiation
• Time to pain control
• Number of hospital admissions
• To assess physician utilization and satisfaction
  with the patient database

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Inclusion Criteria

• Male and female patients gt 18 years old
• gt 5 Encounters related to Sickle Cell Painful
  Crisis between 6/1/05 and 6/30/06

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Methods
Feb 2007
Dec 2006
March 2007
April 2007
March 2008
Second Patient survey will be mailed
IRB application filed
Database and Patient survey created
IRB approval received
Initial Patient surveys mailed
Retrospective chart review begins
Database population
Staff education and access
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Initial Survey Results

• Mean age 32 years
• Gender 66 Male
• Efficacy of Pain Management
• 83 patients report pain reduced
• 33 patients report pain controlled
• Time to pain control gt 12 hrs
• Acceptable time to pain control 83 No

Results are for 6 of 63 patient surveys
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Future Steps in Database Implementation

• Database updated continuously
• Staff satisfaction survey will be administered
• Follow-up patient survey will be mailed
• Patient and Staff Survey results analyzed
• Research report will be prepared
• Hospital-wide database development