Title

Treating and reducing anxiety and pain in the paediatric emergency department-TIME FOR ACTION-the TRAPPED quality improvement collaborative.

Authors

Evelyne D TrottierFollow
Samina Ali
Jennifer Thull-Freedman
Garth Meckler
Antonia Stang
Robert Porter
Mathieu Blanchet
Alexander Sasha Dubrovsky
April Kam
Raagini Jain
Tania Principi
Gary Joubert, Western UniversityFollow
Sylvie Le May
Melissa Chan
Gina Neto
Maryse Lagacé
Jocelyn Gravel

Document Type

Article

Publication Date

8-1-2018

Journal

Paediatrics and Child Health

Volume

23

Issue

5

First Page

85

Last Page

85

URL with Digital Object Identifier

https://doi.org/10.1093/pch/pxx186

Abstract

Background/Objectives

In 2013, the TRAPPED-1 survey reported inconsistent availability of pain and distress management strategies across all 15 Canadian paediatric emergency department (PEDs). The objective of the TRAPPED-2 study was to utilize a procedural pain quality improvement collaborative (QIC) and evaluate the number of newly introduced pain and distress-reducing strategies in Canadian PEDs over a 2-year period.

Methods

A QIC was created to increase implementation of new strategies, through collaborative information sharing among PEDs. In 2015, 11 of the 15 Canadian PEDs participated in the TRAPPED QIC. At the end of the year, the TRAPPED-2 survey was electronically sent to a representative member at each of the 15 PEDs. The successful introduction of the chosen strategies by the QIC was assessed as well as the addition of new strategies per site. The number of new strategies introduced in the participating and nonparticipating QIC sites were described.

Results

All 15 PEDs (100%) completed the TRAPPED-2 survey. Overall, 10/11 of QIC-participating sites implemented the strategy they had initially identified. All 15 Canadian PEDs implemented some new strategies during the study period; participants in the QIC reported a mean of 5.2 (1-11) new strategies compared to 2.5 (1-4) in the nonactively participating sites.

Conclusion

While all PEDs introduced new strategies during the study, QIC-participating sites successfully introduced the majority of their previously identified new strategies in a short time period. Sharing deadlines and information between centres may have contributed to this success.

Notes

Article available at Paediatrics and Child Health

https://doi.org/10.1093/pch/pxx186

© The Author(s) 2018