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Browsing by Author "Meijs, T."
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5 Jaar naderhand: met de mond vol tanden? 2012, Article / Letter to editor (Tijdschrift voor Gerontologie en Geriatrie, vol. 43, iss. 6, (2012), pp. 280-282) -
Architectuurbeschrijvingen voor ICT in zorg 2012, Part of book or chapter of book (, pp. 190-199)Voor steeds meer zorgprocessen komen slimme mogelijkheden voor optimalisaties, door de toepassing van ICT. In dit artikel introduceren we een architectuurbeschrijving van zorgprocessen, die geschikt is om: - ICT innovaties in de gezondheidszorg te positioneren - Samenwerking tussen zorgprofessionals te optimaliseren - Implementatieplannen realiseren -
Facilitators and barriers in pain management for trauma patients in the chain of emergency care 2011, Article / Letter to editor (Injury : International Journal of the Care of the Injured, vol. 43, iss. 9, (2011), pp. 1397-1402)The aim of the study is to give insight into facilitators and barriers in pain management in trauma patients in the chain of emergency care in the Netherlands. A qualitative approach was adopted with the use of the implementation Model of Change of Clinical Practice. The chain of emergency care concerned prehospital Emergency Medical Services (EMS) and Emergency Departments (EDs). We included two EMS ambulance services and three EDs and conducted five focus groups and 10 individual interviews. Stakeholders and managers of organisations were interviewed individually. Focus group participants were selected based on availability and general characteristics. Transcripts of the audio recordings and field notes were analysed in consecutive steps, based on thematic content analysis. Each step was independently performed by the researchers, and was discussed afterwards. We analysed differences and similarities supported by software for qualitative analysis MaxQDA.
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Prevalence and relief of pain in trauma patients in Emergency Medical Services 2011, Article / Letter to editor (Clinical Journal of Pain, vol. 27, iss. 7, (2011), pp. 587-592)The aim of this study was to give insight in the prevalence of pain, and the (effect of) pain management according to the national emergency medical services analgesia protocol in trauma patients in the Netherlands. The retrospective document study included adult and alert trauma patients. Data collection concerned patient characteristics, prevalence of pain, and the (effect of) pain management. Actual pain management was compared with the national emergency medical services analgesia protocol for paramedics. Pain relief was defined as a decrease on the Numeric Rating Scale. One thousand four hundred and seven trauma patients were included. A report on pain was missing in 28% of the patients (n=393), 2% of the patients (n=34) reported no pain, and the prevalence of pain was reported by 70% of the patients (n=980). Of the patients in pain, 31% (n=311) had a systematic pain assessment (Numeric Rating Scale) at the scene of accident and the median pain score was 6 (interquartile range=3 to 8). Pharmacological pain treatment was administered to 42% of the patients in pain (n=410), and consisted mainly of intravenous fentanyl. Nonpharmacological pain treatments were cleaning of wounds (n=189), and application of splints or immobilizing bandages (n=130). Pain relief on arrival in the emergency department could only be evaluated in 15% of the patients in pain (n=149).
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Met spoed van de pijn af : In aantocht: multidisciplinaire richtlijn pijnbestrijding in de spoedzorg 2009, Article / Letter to editor (Nursing, vol. 2009, iss. 3, (2009), pp. 33)Pijn bij traumapatiënten is een veel voorkomend probleem, waar tijdens de behandeling te weinig aandacht voor is. Dat blijkt uit onderzoek van verpleegkundig onderzoeker Sivera Berben. Samen met collega’s ontwikkelt ze een richtlijn hiervoor.
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