Ameliorating Pain in Nursing Homes: A Collaborative Quality-Improvement Project

Objectives: To evaluate a multifaceted intervention to improve pain‐management processes of care and outcomes in nursing homes. Design: Quasi‐experimental, pretest/posttest. Setting: Nursing homes in Rhode Island. Participants: Twenty‐one facilities. Intervention: This project used a multifaceted co...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2004-12, Vol.52 (12), p.1988-1995
Main Authors: Baier, Rosa R., Gifford, David R., Patry, Gail, Banks, Sara M., Rochon, Therese, DeSilva, Debra, Teno, Joan M.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Collaborative approach
Elderly people
Female
General aspects
Homes for the Aged - standards
Humans
Male
Management
Medical sciences
Nursing homes
Nursing Homes - standards
Outcome and Process Assessment (Health Care) - methods
Pain
Pain - prevention & control
Pain management
Quality Assurance, Health Care - methods
quality improvement
Quality of care
Rhode Island
USA
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Summary:Objectives: To evaluate a multifaceted intervention to improve pain‐management processes of care and outcomes in nursing homes. Design: Quasi‐experimental, pretest/posttest. Setting: Nursing homes in Rhode Island. Participants: Twenty‐one facilities. Intervention: This project used a multifaceted collaborative intervention involving audit and feedback of pain management, education, training, coaching using rapid‐cycle quality‐improvement techniques, and inter‐nursing home collaboration. Measurements: Pain‐management processes of care and outcomes, measured using chart review and the Minimum Data Set. Results: Of 21 facilities, 17 completed the project. Postintervention, nursing homes increased the use of appropriate pain assessments (3.9% vs 43.8%, P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2004.52553.x