Institutionalizing effective pain management practices: Practice change programs to improve the quality of pain management in small health care organizations

Karen M. Stevenson, June L. Dahl, Patricia Berry, Susan L. Beck, Julie Griffie

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The Resource Center of the American Alliance of Cancer Pain Initiatives provided templates, faculty, and ongoing consultation to assist seven state pain initiatives to implement programs to improve pain management practices. A total of 113 health care organizations participated. Each organization committed to support a team of two to three staff through a 10-month pain quality improvement process, which included a site visit, two educational conferences, pre- and postprogram analyses of the organizational structures in place to support pain assessment and management, quality improvement work plan development, and patient survey data collection. Postprogram results showed statistically significant increases in the presence of structural elements that are critical to effective pain management, as well as statistically significant, though modest, decreases in the percentage of patients who reported pain of any severity, and specifically moderate to severe pain, in the previous 24 hours. The largest changes occurred in long-term care facilities. Nevertheless, the percentage of patients in moderate to severe pain remained unacceptably high.

Original languageEnglish (US)
Pages (from-to)248-261
Number of pages14
JournalJournal of Pain and Symptom Management
Volume31
Issue number3
DOIs
StatePublished - Mar 2006
Externally publishedYes

Fingerprint

Pain Management
Organizations
Delivery of Health Care
Pain
Quality Improvement
Long-Term Care
Pain Measurement
Referral and Consultation

Keywords

  • Home health
  • Long-term care
  • Organizational change
  • Pain
  • Quality improvement

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Institutionalizing effective pain management practices : Practice change programs to improve the quality of pain management in small health care organizations. / Stevenson, Karen M.; Dahl, June L.; Berry, Patricia; Beck, Susan L.; Griffie, Julie.

In: Journal of Pain and Symptom Management, Vol. 31, No. 3, 03.2006, p. 248-261.

Research output: Contribution to journalArticle

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