Quality Assessment of Acute Inpatient Pain Management in an Academic Health Center. Academic Article uri icon

Overview

MeSH

  • Academic Medical Centers
  • Humans
  • Opioid-Related Disorders
  • Pain Management
  • Pain Measurement
  • Practice Guidelines as Topic

MeSH Major

  • Acute Pain
  • Analgesics, Opioid
  • Inpatients
  • Quality of Health Care

abstract

  • The quality of acute inpatient pain management remains suboptimal and poorly understood. In this retrospective study, we analyze acute pain management practice in a large academic health center using several quality indicators. Not surprisingly, despite high rate of pain assessment, many patients still have frequent, prolonged, and unrelieved severe pain episodes. Upon examination of naloxone administration, we identify potential inappropriate opioid prescription practices such as the use of wrong opioids in hepatic and renal failure and simultaneous use of multiple short-acting opioids. Most importantly, we find that chronic opioid users appear to suffer the most in terms of undertreatment of pain as well as opioid overdose, highlighting the urgent need to target this underserved population of patients. © The Author(s) 2014.

publication date

  • February 2016

has subject area

  • Academic Medical Centers
  • Acute Pain
  • Analgesics, Opioid
  • Humans
  • Inpatients
  • Opioid-Related Disorders
  • Pain Management
  • Pain Measurement
  • Practice Guidelines as Topic
  • Quality of Health Care

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC4363080

Digital Object Identifier (DOI)

  • 10.1177/1049909114546545

PubMed ID

  • 25106418

Additional Document Info

start page

  • 16

end page

  • 19

volume

  • 33

number

  • 1