Pain as the fifth vital sign—A comparison between public and private healthcare systems

<h4>Background</h4> The assessment of pain as the fifth vital sign (P5VS) is of paramount importance since it leads to the management of undertreated pain, consequently reducing suffering, readmissions and emergency department visits after hospital discharge. <h4>Objective</h4&g...

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Autores principales: Daniel Humberto Pozza, Luís Filipe Azevedo, José Manuel Castro Lopes
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/55c266e34c6f4595902689ca607899ee
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spelling oai:doaj.org-article:55c266e34c6f4595902689ca607899ee2021-11-11T07:14:46ZPain as the fifth vital sign—A comparison between public and private healthcare systems1932-6203https://doaj.org/article/55c266e34c6f4595902689ca607899ee2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565736/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> The assessment of pain as the fifth vital sign (P5VS) is of paramount importance since it leads to the management of undertreated pain, consequently reducing suffering, readmissions and emergency department visits after hospital discharge. <h4>Objective</h4> To evaluate the implementation of P5VS in public and private hospitals. <h4>Methods</h4> Data analysis on validated questionnaires was sent to all 171 Portuguese hospitals via an official letter. <h4>Results</h4> When compared to private hospitals, public hospitals presented a higher adherence to the process related to the P5VS. It has demonstrated superiority in the charts properly placed to record P5VS, in the number of emergency departments recording P5VS, in the regularity of audits, and in the existence of guidelines and staff training on pain assessment and management. <h4>Conclusion</h4> The standardization of both evaluation and recording of pain intensity constitutes a measure of good clinical practice. Public hospitals demonstrated better commitment to these procedures that should be properly carried out in all health care institutions.Daniel Humberto PozzaLuís Filipe AzevedoJosé Manuel Castro LopesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daniel Humberto Pozza
Luís Filipe Azevedo
José Manuel Castro Lopes
Pain as the fifth vital sign—A comparison between public and private healthcare systems
description <h4>Background</h4> The assessment of pain as the fifth vital sign (P5VS) is of paramount importance since it leads to the management of undertreated pain, consequently reducing suffering, readmissions and emergency department visits after hospital discharge. <h4>Objective</h4> To evaluate the implementation of P5VS in public and private hospitals. <h4>Methods</h4> Data analysis on validated questionnaires was sent to all 171 Portuguese hospitals via an official letter. <h4>Results</h4> When compared to private hospitals, public hospitals presented a higher adherence to the process related to the P5VS. It has demonstrated superiority in the charts properly placed to record P5VS, in the number of emergency departments recording P5VS, in the regularity of audits, and in the existence of guidelines and staff training on pain assessment and management. <h4>Conclusion</h4> The standardization of both evaluation and recording of pain intensity constitutes a measure of good clinical practice. Public hospitals demonstrated better commitment to these procedures that should be properly carried out in all health care institutions.
format article
author Daniel Humberto Pozza
Luís Filipe Azevedo
José Manuel Castro Lopes
author_facet Daniel Humberto Pozza
Luís Filipe Azevedo
José Manuel Castro Lopes
author_sort Daniel Humberto Pozza
title Pain as the fifth vital sign—A comparison between public and private healthcare systems
title_short Pain as the fifth vital sign—A comparison between public and private healthcare systems
title_full Pain as the fifth vital sign—A comparison between public and private healthcare systems
title_fullStr Pain as the fifth vital sign—A comparison between public and private healthcare systems
title_full_unstemmed Pain as the fifth vital sign—A comparison between public and private healthcare systems
title_sort pain as the fifth vital sign—a comparison between public and private healthcare systems
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/55c266e34c6f4595902689ca607899ee
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AT luisfilipeazevedo painasthefifthvitalsignacomparisonbetweenpublicandprivatehealthcaresystems
AT josemanuelcastrolopes painasthefifthvitalsignacomparisonbetweenpublicandprivatehealthcaresystems
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