Quality Assurance and Assessment in Pain Management

Anesthesiology Clinics

Volumn 29, Issue 1, 2011, Pages 123-133

  Gupta, Anita ^a   Ashburn, Michael ^a   Ballantyne, Jane ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Assessment; Assurance; Management; Pain; Quality; Satisfaction

Indexed keywords

MORPHINE; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE;

CANCER PAIN; CANCER PALLIATIVE THERAPY; CHRONIC PAIN; EPIDURAL ANESTHESIA; EVIDENCE BASED MEDICINE; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HUMAN; INTESTINE FUNCTION; PAIN; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; PRACTICE GUIDELINE; QUALITY OF LIFE; RESPIRATION DEPRESSION; REVIEW; SEDATION; SIDE EFFECT; TERMINAL CARE; TREATMENT OUTCOME;

ACUTE DISEASE; CHRONIC DISEASE; EVIDENCE-BASED MEDICINE; GUIDELINES AS TOPIC; HUMANS; NEOPLASMS; PAIN; PAIN, INTRACTABLE; PALLIATIVE CARE; PATIENT SATISFACTION; PATIENT-CENTERED CARE; QUALITY ASSURANCE, HEALTH CARE; TREATMENT OUTCOME;

EID: 79551565579     PISSN: 19322275     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.anclin.2010.11.008     Document Type: Review

References (67)

1. Swensen S.J., Meyer G.S., Nelson E.C., et al. Cottage industry to postindustrial care-the revolution in health care delivery. N Engl J Med 2010, 362(5):e12.
2. James B.C., Hammond M.E. The challenge of variation in medical practice. Arch Pathol Lab Med 2000, 124(7):1001-1003.
3. Ballantyne J.C., Chalmers T.C., Dear K.B., et al. Qualitative analysis of drug interventions: adult postoperative and trauma patients. US Department of Health and Human Services, editor. Acute pain management: guideline technical report 1995, 28-106. Agency of Health Care Policy and Research, Rockville (MD).
4. Ashburn M.A., Ballantyne J.C. Optimal postoperative analgesia. Evidence based practice of anesthesia 2009, 485-492. Elsevier, Philadelphia (PA). 2nd edition. L. Fleisher (Ed.).
5. Carr D.B., Jacox A.K., Chapman C.R., et al. Acute pain management: operative or medical procedures and trauma. Clinical Practice Guideline 1992, AHCPR Pub No 92-0032, Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, Rockville (MD).
6. American Society of Anesthesiologists Task Force on Acute Pain Management Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology 2004, 100(6):1573-1581.
7. Gordon D.B., Dahl J.L., Miaskowski C., et al. American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. Arch Intern Med 2005, 165(14):1574-1580.
8. Kehlet H., Dahl J.B. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 2003, 362(9399):1921-1928.
9. Elia N., Lysakowski C., Tramer M.R. Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone? Meta-analyses of randomized trials. Anesthesiology 2005, 103(6):1296-1304.
10. White P.F., Kehlet H., Neal J.M., et al. The role of the anesthesiologist in fast-track surgery: from multimodal analgesia to perioperative medical care. Anesth Analg 2007, 104(6):1380-1396.
11. Ballantyne J.C. Does epidural analgesia improve surgical outcome?. Br J Anaesth 2004, 92(1):4-6.
12. Ballantyne J.C., Kupelnick B., McPeek B., et al. Does the evidence support the use of spinal and epidural anesthesia for surgery?. J Clin Anesth 2005, 17(5):382-391.
13. Walder B., Schafer M., Henzi I., et al. Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain: a quantitative systematic review. Acta Anaesthesiol Scand 2001, 45(7):795-804.
14. Miaskowski C., Crews J., Ready L.B., et al. Anesthesia-based pain services improve the quality of postoperative pain management. Pain 1999, 80(1-2):23-29.
15. Warfield C.A., Kahn C.H. Acute pain management: programs in the US hospitals and experiences and attitudes among US adults. Anesthesiology 1995, 83(5):1090-1094.
16. Rawal N. Acute pain services revisited-good from far, far from good?. Reg Anesth Pain Med 2002, 27(2):117-121.
17. Apfelbaum J.L., Chen C., Mehta S.S., et al. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003, 97(2):534-540.
18. Stomberg M.W., Wickstrom K., Joelsson H., et al. Postoperative pain management on surgical wards-do quality assurance strategies result in long-term effects on staff member attitudes and clinical outcomes?. Pain Manag Nurs 2003, 4(1):11-22.
19. Gordon D.B., Dahl J.L. Quality improvement challenges in pain management. Pain 2004, 107(1-2):1-4.
20. Liu S.S., Warren D.T., Wu C.L., et al. A lovely idea: forming an ASRA Acute Postoperative Pain (AcutePOP) database. Reg Anesth Pain Med 2006, 31(4):291-293.
21. McQuay H., Moore A. Utility of clinical trial results for clinical practice. Eur J Pain 2007, 11(2):123-124.
22. Parkin D.M. The evolution of the population-based cancer registry. Nat Rev Cancer 2006, 6(8):603-612.
23. Registries for evaluating patient outcomes: a user's guide 2007, 163-182. Agency for Healthcare Research and Quality, Rockville (MD). R.E. Gliklich, N.A. Dreyer (Eds.).
24. Zaslansky R., Chapman R., Meissner W. Registries for acute pain: will they advance evidence-based practice?. APS Bulletin 2009, 19(2):6-9. Available at:, Accessed July 1, 2010. http://www.ampainsoc.org/pub/bulletin/sum09/innovations.htm.
25. Parkin D.M. The role of cancer registries in cancer control. Int J Clin Oncol 2008, 13(2):102-111.
26. Ballantyne J.C., McKenna J.M., Ryder E. Epidural analgesia-experience of 5628 patients in a large teaching hospital derived through audit. Acute Pain 2003, 4:89-97.
27. Cheung C.W., Ying C.L., Lee L.H., et al. An audit of postoperative intravenous patient-controlled analgesia with morphine: evolution over the last decade. Eur J Pain 2009, 13(5):464-471.
28. Popping D.M., Zahn P.K., Van Aken H.K., et al. Effectiveness and safety of postoperative pain management: a survey of 18925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008, 101(6):832-840.
29. Steele J.R., Wallace M.J., Hovsepian D.M., et al. Guidelines for establishing a quality improvement program in interventional radiology. J Vasc Interv Radiol 2010, 21(5):617-625.
30. Pauker S.G., Zane E.M., Salem D.N. Creating a safer health care system: finding the constraint. JAMA 2005, 294(22):2906-2908.
31. Magill M.K., Day J., Mervis A., et al. Improving colonoscopy referral rates through computer-supported, primary care practice redesign. J Healthc Qual 2009, 31(4):43-52. [quiz: 52-3].
32. Turk D.C., Dworkin R.H., Allen R.R., et al. Core outcome domains for chronic pain clinical trials: IMMPACT recommendations. Pain 2003, 106(3):337-345.
33. Vetter T.R. A primer on health-related quality of life in chronic pain medicine. Anesth Analg 2007, 104(3):703-718.
34. Rogers W.H., Wittink H.M., Ashburn M.A., et al. Using the "TOPS," an outcomes instrument for multidisciplinary outpatient pain treatment. Pain Med 2000, 1(1):55-67.
35. Podichetty V.K., Weiss L.T., Fanciullo G.J., et al. Web-based health survey systems in outcome assessment and management of pain. Pain Med 2007, 8(Suppl 3):S189-S198.
36. Donnelly S., Walsh D., Rybicki L. The symptoms of advanced cancer: identification of clinical and research priorities by assessment of prevalence and severity. J Palliat Care 1995, 11(1):27-32.
37. Phillips D.F. End-of-life coalitions grow to fill needs. JAMA 2000, 284(19):2442-2444.
38. Seow H., Snyder C.F., Mularski R.A., et al. A framework for assessing quality indicators for cancer care at the end of life. J Pain Symptom Manage 2009, 38(6):903-912.
39. Dy S.M., Asch S.M., Naeim A., et al. Evidence-based standards for cancer pain management. J Clin Oncol 2008, 26(23):3879-3885.
40. Dahl J.L., Gordon D.B. Joint Commission pain standards: a progress report. APS Bulletin 2002, 12(6):1-8.
41. Joint Commission on Accreditation of Healthcare Organizations pain management standards Effective January 1, 2001. Available at:, Accessed July 1, 2010. http://www.jcaho.org/standard/.
42. Comley A.L., DeMeyer E. Assessing patient satisfaction with pain management through a continuous quality improvement effort. J Pain Symptom Manage 2001, 21(1):27-40.
43. Wu C.L., Naqibuddin M., Fleisher L.A. Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review. Reg Anesth Pain Med 2001, 26:196-208.
44. Ward S.E., Gordon D.B. Patient satisfaction and pain severity as outcomes in pain management: a longitudinal view of one setting's experience. J Pain Symptom Manage 1996, 11(4):242-251.
45. Dillie K.S., Fleming M.F., Mundt M.P., et al. Quality of life associated with daily opioid therapy in a primary care chronic pain sample. J Am Board Fam Med 2008, 21(2):108-117.
46. Dawson R., Spross J.A., Jablonski E.S., et al. Probing the paradox of patients' satisfaction with inadequate pain management. J Pain Symptom Manage 2002, 23(3):211-220.
47. Ballantyne J.C. Patient-centered health care: are opioids a special case?. Spine J 2009, 9:770-772.
48. McCracken L.M., Klock P.A., Mingay D.J., et al. Assessment of satisfaction with treatment for chronic pain. J Pain Symptom Manage 1997, 14(5):292-299.
49. McNeill J.A., Sherwood G.D., Starck P.L., et al. Assessing clinical outcomes: patient satisfaction with pain management. J Pain Symptom Manage 1998, 16(1):29-40.
50. Vila H., Smith R.A., Augustyniak M.J., et al. The efficacy and safety of pain management before and after implementation of hospital-wide pain management standards: is patient safety compromised by treatment based solely on numerical pain ratings?. Anesth Analg 2005, 101:474-480.
51. Zacny J., Bigelow G., Compton P., et al. College on Problems of Drug Dependence Taskforce on prescription opioid non-medical use and abuse: position statement. Drug Alcohol Depend 2003, 69(3):215-232.
52. AAPM Council on Ethics American Academy of Pain Medicine. Ethics Charter Available at:, Accessed July 1, 2010. http://www.painmed.org/productpub/pdfs/EthicsCharter.pdf.
53. Dubois M.Y. The birth of an ethics charter for pain medicine. Pain Med 2005, 6(3):201-202.
54. Joranson D.E., Gilson A.M. State intractable pain policy: current status. APS Bulletin 1997, 7(2):7-9.
55. Grol R. Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction. JAMA 2001, 286(20):2578-2585.
56. Aharony L., Strasser S. Patient satisfaction: what we know about and what we still need to explore. Med Care Rev 1993, 50(1):49-79.
57. Heidegger T., Nuebling M., Saal D., et al. Patient-centered outcomes in clinical research: does it really matter?. Br J Anaesth 2008, 100(1):1-3.
58. Svensson I., Sjostrom B., Haljamae H. Influence of expectations and actual pain experiences on satisfaction with postoperative pain management. Eur J Pain 2001, 5(2):125-133.
59. Thomas T., Robinson C., Champion D., et al. Prediction and assessment of the severity of post-operative pain and of satisfaction with management. Pain 1998, 75(2-3):177-185.
60. Sullivan M. Ethical principles in pain management. Pain Med 2001, 2:106-111.
61. Compton W.M., Volkow N.D. Major increases in opioid analgesic abuse in the United States: concerns and strategies. Drug Alcohol Depend 2006, 81(2):103-107.
62. Paulozzi L.J., Budnitz D.S., Xi Y. Increasing deaths from opioid analgesics in the United States. Pharmacoepidemiol Drug Saf 2006, 15(9):618-627.
63. Kuehn B.M. Opioid prescriptions soar: increase in legitimate use as well as abuse. JAMA 2007, 17(3):249.
64. Eriksen J., Sjogren P., Bruera E., et al. Critical issues on opioids in chronic non-cancer pain. An epidemiological study. Pain 2006, 125:172-179.
65. Wallace A.S., Freburger J.K., Darter J.D., et al. Comfortably numb? Exploring satisfaction with chronic back pain visits. Spine J 2009, 9(9):721-728.
66. Rubin S.B. If we think it's futile, can't we just say no?. HEC Forum 2007, 19(1):45-65.
67. Ballantyne J.C., Fleisher L.A. Ethical issues in opioid prescribing for chronic pain. Pain 2010, 148(3):365-367.