Postsurgical Pain Risk Stratification to Enhance Pain Management Workflow in Adult Patients: Design, Implementation, and Pilot Evaluation.
Matthias GörgesJonath SujanNicholas C WestRama Syamala SreepadaMichael D WoodBeth A PayneSwati ShettyJean P GelinasAinsley M SutherlandPublished in: JMIR perioperative medicine (2024)
An initial POQI platform prototype was deployed operationally; the risk algorithm had reasonable specificity but poor sensitivity. There was a significant loss to follow-up in postdischarge survey completion. Clinicians and patients appreciated the potential impact of preemptively addressing opioid exposure but expressed shortcomings in the platform's design and implementation. Iterative platform redesign with additional features and reevaluation are required before broader implementation.
Keyphrases
- pain management
- chronic pain
- primary care
- healthcare
- high throughput
- end stage renal disease
- quality improvement
- ejection fraction
- chronic kidney disease
- newly diagnosed
- prognostic factors
- peritoneal dialysis
- deep learning
- randomized controlled trial
- magnetic resonance imaging
- computed tomography
- clinical trial
- risk assessment
- human health
- patient reported
- structural basis