Feedback only | Feedback with toolbox | |||||
Crude pre-intervention performance* | Crude performance after 6 months† | OR (95% CI) at 6 months | Crude pre-intervention performance* | Crude performance after 6 months† | OR (95% CI) at 6 months | |
Adequate pain management (primary outcome) | 69.3% (25 436/36 713) | 74.1% (27 128/36 617) | 1.04(1.00to1.09) | 59.8% (18 728/31 334) | 74.5% (19 789/26 551) | 1.13(1.06to1.22)‡ |
Secondary outcomes | ||||||
Performing pain measurements | 79.3% (29 115/36 713) | 82.7% (30 269/36 617) | 1.04(1.00to1.09) | 67.5% (21 138/31 334) | 83.1% (22 062/26 551) | 1.24(1.15to1.34)§ |
Re-measuring unacceptable pain within 1 hour | 18.6% (804/4318) | 23.7% (903/3811) | 1.15(1.06to1.25) | 14.3% (390/2735) | 24.7% (714/2889) | 1.26(1.08to1.47) |
Acceptable pain scores | 85.2% (24 797/29 115) | 87.4% (26 458/30 269) | 0.99 (0.93 to 1.05) | 87.1% (18 403/21 138) | 86.9% (19 173/22 062) | 1.08 (0.97 to 1.20) |
Unacceptable pain score normalised within 1 hour | 79.5% (639/804) | 74.2% (670/903) | 0.71 (0.55 to 0.92) | 83.3% (325/390) | 86.3% (616/714) | 1.44 (0.79 to 2.56) |
ORs associated with a 6-month increase in time; significant results are shown in bold.
*Pre-intervention performance includes 3 months before implementation of the intervention.
†Performance after 6 months includes months 3 to 6 after implementation of the intervention.
‡Significantly different from the feedback-only group with p=0.049.
§Significantly different from the feedback-only group with p<0.001.