Journal
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
Volume 32, Issue 6, Pages 594-599Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1049909114530491
Keywords
general medical inpatients; pain management; acute pain; opioid; addiction; quality improvement
Categories
Funding
- National Institutes of Health [UL1RR024996]
- Clinical and Translational Science Center at Weill Cornell Medical College [UL1TR000457]
- National Institute on Aging through Translational Research Institute for Pain in Later Life (TRIPLL) [5P30AG022845]
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The current literature suggests deficiencies in the quality of acute pain management among general medical inpatients. The aim of this qualitative study is to identify potential barriers to high-quality acute pain management among general medical inpatients at an urban academic medical center during a 2-year period. Data are collected using retrospective chart reviews, survey questionnaires, and semistructured, open-ended interviews of 40 general medical inpatients who have experienced pain during their hospitalization. Our results confirm high prevalence and disabling impacts of pain and significant patient- and provider-related barriers to high-quality acute pain management. We also identify unique system-related barriers such as time delay and pain management culture. Efforts to improve the pain management experience of general medical inpatients will need to address all these barriers.
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