AANA Journal: A Retrospective Study: Multimodal Analgesia Quality Measure Implementation and Patient Outcome Assessment-A Retrospective Study: Multimodal Analgesia Quality Measure Implementation and Patient Outcome Assessment

A Retrospective Study: Multimodal Analgesia Quality Measure Implementation and Patient Outcome Assessment

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The study evaluates patient outcomes following the implementation of the Merit-based Incentive Payment System (MIPS) 477 in the context of nonopioid multimodal analgesia during gynecological procedures. A retrospective analysis of 400 adult patients was conducted to compare those who received two or more multimodal analgesics (MAs) with those who received less than two MAs. The primary outcomes examined were postoperative pain scores, total opioid consumption, and postoperative nausea and vomiting (PONV). Results showed that patients in the treatment group with two or more MAs had lower pain scores upon arrival at the postanesthesia care unit (PACU) and reduced total intraoperative opioid consumption compared to the control group. However, there was no significant difference in pain scores at PACU discharge, total PACU opioid consumption, and PONV between the two groups. The study highlights the potential benefits of implementing MIPS 477 quality measures in improving perioperative patient outcomes. Future prospective studies are suggested to address limitations and further investigate the impact of specific multimodal analgesics on patient outcomes. The authors emphasize the importance of reducing opioid consumption and improving pain control postoperatively while acknowledging the need for further research in this area.

Keywords

Merit-based Incentive Payment System

MIPS 477

nonopioid multimodal analgesia

gynecological procedures

retrospective analysis

postoperative pain scores

total opioid consumption

postoperative nausea and vomiting

perioperative patient outcomes

multimodal analgesics