Assessing patient satisfaction with pain management through a continuous quality improvement effort.

A quasi-experimental study was conducted to evaluate patient satisfaction with pain management before and after a continuous quality improvement (CQI) project in a large, university medical center. The CQI project aim was to implement American Pain Society (APS) quality improvement guidelines regarding the recognition and prompt treatment of pain. A modified version of the questionnaire recommended by the APS Subcommittee on Quality Assurance Standards was used to survey 83 patients prior to implementation of the CQI effort and 89 patients one year later. Half of the patients reported moderate to severe pain both before and after the CQI project. Less than half reported complete relief of pain after treatment. Despite significant levels of pain and ineffective treatment, greater than 90% of patients reported being satisfied with pain management. Responses to open-ended questions were analyzed. Findings from the study are being used to develop a medical center-wide action plan to guide further CQI efforts to improve pain management.

[1]  D. Wong,et al.  Pain in children: comparison of assessment scales. , 1988, The Oklahoma nurse.

[2]  J. Spross,et al.  Oncology Nursing Society position paper on cancer pain. , 1990, Oncology nursing forum.

[3]  R. Fitzpatrick,et al.  Surveys of patients satisfaction: I--Important general considerations. , 1991, BMJ.

[4]  M. Bone.  Surveys of patient satisfaction. , 1991, BMJ.

[5]  R. Halfens,et al.  [Pain in children]. , 1994, TVZ : het vakblad voor de verpleging.

[6]  M. Avis,et al.  Satisfying solutions? A review of some unresolved issues in the measurement of patient satisfaction. , 1995, Journal of advanced nursing.

[7]  S. Linder-Pelz.  Toward a theory of patient satisfaction. , 1982, Social science & medicine.

[8]  B. Ferrell,et al.  Pain and quality assessment/ improvement , 1995, Journal of nursing care quality.

[9]  C. Miaskowski,et al.  Assessment of patient satisfaction utilizing the American Pain Society's Quality Assurance Standards on acute and cancer-related pain. , 1994, Journal of pain and symptom management.

[10]  A Donabedian,et al.  Quality assessment and assurance: unity of purpose, diversity of means. , 1988, Inquiry : a journal of medical care organization, provision and financing.

[11]  J. Eisenberg,et al.  Views from funding agencies. Agency for Health Care Policy and Research. , 1998, Medical care.

[12]  R. Meddis,et al.  In-hospital counselling for first-time myocardial infarction patients and spouses: effects on satisfaction. , 1990, Journal of advanced nursing.

[13]  M. Avis,et al.  Questioning patient satisfaction: An empirical investigation in two outpatient clinics , 1997 .

[14]  R. Portenoy,et al.  Management of cancer pain , 1999, The Lancet.

[15]  B. Williams.  Patient satisfaction: a valid concept? , 1994, Social science & medicine.

[16]  H. Thaler,et al.  Implementing national standards for cancer pain management: program model and evaluation. , 1996, Journal of Pain and Symptom Management.

[17]  Sandra E. Ward,et al.  Quality Improvement Guidelines for the Treatment of Acute Pain and Cancer Pain , 1995 .

[18]  S. Abramowitz,et al.  Analyzing patient satisfaction: a multianalytic approach. , 1987, QRB. Quality review bulletin.

[19]  L. Thomas,et al.  Measuring patients' satisfaction with nursing care. , 1992, Journal of advanced nursing.

[20]  D. Greeneich.  The link between new and return business and quality of care: Patient satisfaction , 1993, ANS. Advances in nursing science.

[21]  B. McNeil,et al.  Patient satisfaction as an indicator of quality care. , 1988, Inquiry : a journal of medical care organization, provision and financing.

[22]  N. Levinsky,et al.  Quality Assessment and Assurance , 1991 .