Implementation and evaluation of a quality improvement process to improve pain management in a hospice setting

Implementation and evaluation of a quality improvement process to improve pain management in a hospice setting

Duggleby W; Alden C

American Journal Of Hospice & Palliative Medicine

1998

Program Development; Program Evaluation; Non-U.S. Gov't; Administration; retrospective studies; Human; Support; Nursing Audit; Hospice Care/standards; Outcome and Process Assessment (Health Care)/organization &; Pain/nursing; Total Quality Management/organization & administration

The purpose of this article is to describe the implementation and evaluation of a quality improvement process to improve pain management in a hospice setting. A retrospective chart audit of 702 patient visits pre- and 536 patient visits post-implementation of quality improvement strategies measured five aspects of pain management: complaints of pain, severity of pain, changes in patient's pain medication regime required, patient and family teaching, and use of complementary therapies. Of these measures a significant change was found in the documentation of pain assessment, recognition of changes required in the medication regime, and patient and family teaching.

1998

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