Quality indicators for the assessment and management of pain in the emergency department: A systematic review

Pain Research and Management

Volumn 19, Issue 6, 2014, Pages e179-e190

  Stang, Antonia S ^a,b,c   Hartling, Lisa ^d,e   Fera, Cassandra ^f   Johnson, David ^a,c,g   Ali, Samina ^d,h  

^a Department of Pediatrics ^*  (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c ALBERTA CHILDREN S HOSPITAL RESEARCH INSTITUTE   (Canada)

^d UNIVERSITY OF ALBERTA   (Canada)

^e UNIVERSITY OF ALBERTA   (Canada)

^f MCGILL UNIVERSITY   (Canada)

^g UNIVERSITY OF CALGARY   (Canada)

^h Women and Children's Health Research Institute   (Canada)

Author keywords

Emergency department; Pain assessment and management; Quality indicators; Systematic review

Indexed keywords

ANALGESIA; CHILD; EMERGENCY HEALTH SERVICE; FEMALE; HEALTH CARE QUALITY; HUMAN; MALE; PAIN MEASUREMENT; STANDARDS;

CHILD; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; PAIN MANAGEMENT; PAIN MEASUREMENT; QUALITY INDICATORS, HEALTH CARE;

EID: 84914181000     PISSN: 12036765     EISSN: None     Source Type: Journal    
DOI: 10.1155/2014/269140     Document Type: Article

References (77)

1. Cordell WH, Keene KK, Giles BK, Jones JB, Jones JH, Brizendine EJ. The high prevalence of pain in emergency medical care. Am J Emerg Med 2002;20:165-9.
2. Johnston CC, Gagnon AJ, Pepler CJ, Bourgault P. Pain in the emergency department with one-week follow-up of pain resolution. Pain Res Manag 2005;10:67-70.
3. Tanabe P, Buschmann M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs 1999;25:171-7.
4. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics 2001;108:793-7.
5. Brennan F, Carr DB, Cousins M. Pain management: A fundamental human right. Anesth Analg 2007;105:205-21.
6. Gordon DB, Dahl JL, 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;165:1574-80.
7. Anand KJ. Pain, plasticity, and premature birth: A prescription for permanent suffering? Nat Med 2000;6:971-3.
8. Weisman SJ, Bernstein B, Schechter NL. Consequences of inadequate analgesia during painful procedures in children. Arch Pediatr Adolesc Med 1998;152:147-9.
9. Brown JC, Klein EJ, Lewis CW, Johnston BD, Cummings P. Emergency department analgesia for fracture pain. Ann Emerg Med 2003;42:197-205.
10. Ducharme J. Acute pain and pain control: State of the art. Ann Emerg Med 2000;35:592-603.
11. Ngai B, Ducharme J. Documented use of analgesics in the emergency department and upon release of patients with extremity fractures. Acad Emerg Med 1997;4:1176-8.
12. Petrack EM, Christopher NC, Kriwinsky J. Pain management in the emergency department: patterns of analgesic utilization. Pediatrics 1997;99:711-4.
13. Singer AJ, Richman PB, Kowalska A, Thode HC Jr. Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures. Ann Emerg Med 1999;33:652-8.
14. Todd KH, Ducharme J, Choiniere M, et al. Pain in the emergency department: Results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain 2007;8:460-6.
15. Johnston CC, Gagnon AJ, Fullerton L, Common C, Ladores M, Forlini S. One-week survey of pain intensity on admission to and discharge from the emergency department: A pilot study. J Emerg Med 1997;16:6.
16. Lee TH. Eulogy for a quality measure. N Engl J Med 2007;357:1175-7.
17. Bradley EH, Holmboe ES, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. A qualitative study of increasing beta-blocker use after myocardial infarction: Why do some hospitals succeed? JAMA 2001;285:2604-11.
18. Graff L, Stevens C, Spaite D, Foody J. Measuring and improving quality in emergency medicine. Acad Emerg Med 2002;9:1091-107.
19. Lindsay P, Schull M, Bronskill S, Anderson G. The development of indicators to measure the quality of clinical care in emergency departments following a modified-delphi approach. Acad Emerg Med 2002;9:1131-9.
20. Mourad SM, Hermens RP, Nelen WL, Braat DD, Grol RP, Kremer JA. Guideline-based development of quality indicators for subfertility care. Hum Reprod 2007;22:2665-72.
21. McGory ML, Shekelle PG, Ko CY. Development of quality indicators for patients undergoing colorectal cancer surgery. J Natl Cancer Inst 2006;98:1623-33.
22. Guru V, Anderson GM, Fremes SE, O'Connor GT, Grover FL, Tu JV. The identification and development of Canadian coronary artery bypass graft surgery quality indicators. J Thorac Cardiovasc Surg 2005;130:1257.
23. Campbell SM, Braspenning J, Hutchinson A, Marshall MN. Research methods used in developing and applying quality indicators in primary care. BMJ 2003;326:816-9.
24. Campbell SM, Cantrill JA, Roberts D. Prescribing indicators for UK general practice: Delphi consultation study. BMJ 2000;321:425-8.
25. Donabedian A. The quality of care. How can it be assessed? JAMA 1988;260:1743-8.
26. Stelfox HT, Bobranska-Artiuch B, Nathens A, Straus SE. A systematic review of quality indicators for evaluating pediatric trauma care. Crit Care Med 2010;38:1187-96.
27. Wells GA, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Health Research Institute. (Accessed December 11, 2013).
28. Bond KO, Blitz S, Friesen C, et al. Interventions to reduce overcrowding in emergency departments. Technology Report 67.4. Ottawa: Canadian Agency for Drugs and Technologies in Health, 2006.
29. Quality Indicator Measure Development, Implementation, Measurement and Retirement 2011. Agency for Healthcare Research and Quality, Rockville, MD. (Accessed September 9, 2013).
30. Odesina V, Bellini S, Delaney C, et al. Evidence-based sickle cell pain management in the emergency department. Adv Emerg Nurs J 2010;18:102-11.
31. Pletcher MJ, Kertesz SG, Kohn MA, Gonzales R. Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. JAMA 2008;299:70-8.
32. Hawkes C, Kelleher G, Hourihane J. Paediatric analgesia in an emergency department. Ir Med J 2008;101:106-9.
33. Hwang U, Richardson LD, Sonuyi TO, Morrison RS. The effect of emergency department crowding on the management of pain in older adults with hip fracture. J Am Geriatr Soc 2006;54:270-5.
34. Jackson SE. The efficacy of an educational intervention on documentation of pain management for the elderly patient with a hip fracture in the emergency department. J Emerg Nurs 2010;36:10-5.
35. Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK. Quality indicators for geriatric emergency care. Acad Emerg Med 2009;16:441-9.
36. Ricard-Hibon A, Ducasse JL, Ravaud P, et al. Quality control programme for acute pain management in emergency medicine: A national survey. Eur J Emerg Med 2004;11:198-203.
37. Shah K, Lendrum K. Pain management in an accident and emergency department: How good are we? J Orthopaed Med 2004;26.
38. Vega-Stromberg T, Holmes SB, Gorski LA, Johnson BP. Road to excellence in pain management: Research, outcomes and direction (ROAD). J Nurs Care Qual 2002;17:15-26.
39. Goodacre SW, Roden RK. A protocol to improve analgesia use in the accident and emergency department. J Accid Emerg Med 1996;13:177-9.
40. Ritsema TS, Kelen GD, Pronovost PJ, Pham JC. The national trend in quality of emergency department pain management for long bone fractures. Acad Emerg Med 2007;14:163-9.
41. Eder SC, Sloan EP, Todd K. Documentation of ED patient pain by nurses and physicians. Am J Emerg Med 2003;21:253-7.
42. Grant PS. Analgesia delivery in the ED. Am J Emerg Med 2006;24:806-9.
43. Hwang U, Richardson L, Livote E, Harris B, Spencer N, Morrison RS. Emergency department crowding and decreased quality of pain care. Acad Emerg Med 2008;15:1248-55.
44. Chu K, Brown A. Association between access block and time to parenteral opioid analgesia in renal colic: A pilot study. Emerg Med Australas 2009;21:38-42.
45. Forero R, Mohsin M, McCarthy S, et al. Prevalence of morphine use and time to initial analgesia in an Australian emergency department. Emerg Med Australas 2008;20:136-43.
46. Mitchell R, Kelly AM, Kerr D. Does emergency department workload adversely influence timely analgesia? Emerg Med Australas 2009;21:52-8.
47. Tanabe P, Myers R, Zosel A, et al. Emergency department management of acute pain episodes in sickle cell disease. Acad Emerg Med 2007;14:419-25.
48. Pines JM, Shofer FS, Isserman JA, Abbuhl SB, Mills AM. The effect of emergency department crowding on analgesia in patients with back pain in two hospitals. Acad Emerg Med 2010;17:276-83.
49. Guru V, Dubinsky I. The patient vs. caregiver perception of acute pain in the emergency department. J Emerg Med 2000;18:7-12.
50. Kuan SC, Collins NC, Ryan JM, Callanan I. Treating pain in the emergency department. Eur J Emerg Med 2009;17:52-5.
51. Stelfox HT, Bobranska-Artiuch B, Nathens A, Straus SE. Quality indicators for evaluating trauma care: A scoping review. Arch Surg 2010;145:286-95.
52. Alessandrini E, Varadarajan K, Alpern ER, et al. Emergency department quality: An analysis of existing pediatric measures. Acad Emerg Med 2011;18:519-26.
53. Pasman HR, Brandt HE, Deliens L, Francke AL. Quality indicators for palliative care: A systematic review. J Pain Symptom Manage 2009;38:145-56.
54. Pines JM, Hollander JE. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med 2008;51:1-5.
55. Czarnecki ML, Turner HN, Collins PM, Doellman D, Wrona S, Reynolds J. Procedural pain management: A position statement with clinical practice recommendations. Pain Manag Nurs 2011;12:95-111.
56. Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet 1997;349:599-603.
57. Taddio A, Shah V, Gilbert-MacLeod C, Katz J. Conditioning and hyperalgesia in newborns exposed to repeated heel lances. JAMA 2002;288:857-61.
58. Bach S, Noreng MF, Tjellden NU. Phantom limb pain in amputees during the first 12 months following limb amputation, after preoperative lumbar epidural blockade. Pain 1988;33:297-301.
59. Gordon SM, Dionne RA, Brahim J, Jabir F, Dubner R. Blockade of peripheral neuronal barrage reduces postoperative pain. Pain 1997;70:209-15.
60. Stevens BJ, Abbott LK, Yamada J, et al. Epidemiology and management of painful procedures in children in Canadian hospitals. CMAJ 2011;183:E403-10.
61. Puntillo KA, White C, Morris AB, et al. Patients' perceptions and responses to procedural pain: Results from Thunder Project II. Am J Crit Care 2001;10:238-51.
62. Tcherny-Lessenot S, Karwowski-Soulie F, Lamarche-Vadel A, Ginsburg C, Brunet F, Vidal-Trecan G. Management and relief of pain in an emergency department from the adult patients' perspective. J Pain Symptom Manage 2003;25:539-46.
63. Chen EH, Shofer FS, Dean AJ, et al. Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain. Acad Emerg Med 2008;15:414-8.
64. Heins A, Grammas M, Heins JK, Costello MW, Huang K, Mishra S. Determinants of variation in analgesic and opioid prescribing practice in an emergency department. J Opioid Manag 2006;2:335-40.
65. Platts-Mills TF, Esserman DA, Brown DL, Bortsov AV, Sloane PD, McLean SA. Older US emergency department patients are less likely to receive pain medication than younger patients: Results from a national survey. Ann Emerg Med 2011;60:199-206.
66. Safdar B, Heins A, Homel P, Miner J, Neighbor M, DeSandre P, Todd KH. Impact of physician and patient gender on pain management in the emergency department - a multicenter study. Pain Med 2009;10:364-72.
67. Todd KH, Deaton C, D'Adamo AP, Goe L. Ethnicity and analgesic practice. Ann Emerg Med 2000;35:11-6.
68. Selbst SM, Clark S. Analgesic use in the emergency department. Ann Emerg Med 1990;19:4.
69. Arendts G, Fry M. Factors associated with delay to opiate analgesia in emergency departments. J Pain 2006;7:682-6.
70. Rubin HR, Pronovost P, Diette GB. The advantages and disadvantages of process-based measures of health care quality. Int J Qual Health Care 2001;13:469-74.
71. Clancy CM, Dougherty D, Walker E. The importance of outcomes research in pediatric emergency medicine. Ambul Pediatr 2002;2(4 Suppl):293-300.
72. Downey LV, Zun LS. Pain management in the emergency department and its relationship to patient satisfaction. J Emerg Trauma Shock 2010;3:326-30.
73. Stahmer SA, Shofer FS, Marino A, Shepherd S, Abbuhl S. Do quantitative changes in pain intensity correlate with pain relief and satisfaction? Acad Emerg Med 1998;5:851-7.
74. Kelly AM. Patient satisfaction with pain management does not correlate with initial or discharge VAS pain score, verbal pain rating at discharge, or change in VAS score in the Emergency Department. J Emerg Med 2000;19:113-6.
75. Drendel AL, Brousseau DC, Gorelick MH. Pain assessment for pediatric patients in the emergency department. Pediatrics 2006;117:1511-8.
76. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med 2004;43:494-503.
77. Green SM. There is oligo-evidence for oligoanalgesia. Ann Emerg Med 2012;60:212-4.