Acute Pain Management Paper

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Pain management is increasingly recognized as an important aspect of high-quality care and an integral component of patient satisfaction.1-3 Under-treatment of postoperative pain has important implications for health systems from the standpoints of economics and patient satisfaction.6 Based on the Agency for Health Care Policy and Research guidelines for acute pain management, appropriate pain management for postoperative patients contributes to earlier mobilization, shortened hospital stay, and reduced costs.5
In view of the under-management of postoperative pain, the American Society of Anesthesiologists established the Task Force on Acute Pain Management and published guidelines promoting standardization of procedures and the use of patient-controlled …show more content…
Our results indicated that patient’ perceptions of pain control and staff’s efforts to control pain are associated with patients’ overall satisfaction scores. We also found that patients are more likely to rate their overall hospital experience highly if they perceived that their healthcare providers were doing everything they could to help control the pain and their pain was well controlled. Our results showed that after adjusting for age, sex, nurses’ courtesy, and physicians’ courtesy, staff performance in managing pain was a stronger predictor of satisfaction than pain control itself. The odds of a patient being satisfied were 4.86 times greater if pain was controlled and 9.92 times greater if the staff performance was appropriate …show more content…
(10) The HCAHPS survey is mandated by the Centers for
Medicare and Medicaid (CMS). CMS also oversees administration of the survey and publicly reports U.S. hospital-level results.

The HCAHPS survey consists of 27 questions related to satisfaction with care and respondent demographics; it comprises seven domains of care. There are two questions on the patient’s perceptions of pain management: “During this hospital stay, how often was your pain well-controlled?” and “During this hospital stay, how often did the hospital staff do everything they could to help you with your pain?” Multiple studies have shown positive relationships between patients’ experiences on these surveys and the quality of clinical care in U.S. hospitals. (4, 10, 11)

Although Johns Hopkins consistently ranks high in most subspecialties of medicine and surgery, the HCAHPS survey data illustrate that the hospital needs much improvement in the area of pain
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