Improving Documentation of Pain Management at MedStar Washington Cancer Institute.

MedStar author(s):
Citation: Journal of oncology practice/American Society of Clinical Oncology. 11(2):155-7, 2015 Mar.PMID: 25690597Institution: Washington Cancer InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Documentation/st [Standards] | *Neoplasms/dt [Drug Therapy] | *Pain/dt [Drug Therapy] | *Quality Assurance, Health Care/st [Standards] | Cancer Care Facilities/st [Standards] | District of Columbia | Hospitals, Community/st [Standards] | Hospitals, Teaching/st [Standards] | Humans | Pain Management | Patient Care PlanningYear: 2015ISSN:
  • 1554-7477
Name of journal: Journal of oncology practice / American Society of Clinical OncologyAbstract: CONCLUSION: After one cycle of PDSA, we achieved our goal of a 90% pain documentation rate. To sustain our project, we continued to monitor the pain documentation rate quarterly in 2014 and continue the process of education and orientation to new staff, rotating residents, and fellows.Copyright © 2015 by American Society of Clinical Oncology.METHODS: We undertook a structured approach to improve documentation of the plan of care for moderate/severe pain with support from ASCO's Quality Training Program. Our team used standard plan-do-study-act (PDSA) methodology to achieve our goal of 90% documentation. We used a statistical process control chart (p chart) to determine whether our process was under control and to monitor the improvement in the documentation of pain management.PURPOSE: Appropriate cancer pain documentation is one of the quality measures in the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI). MedStar Washington Cancer Institute has participated in QOPI since 2008, and documenting a plan of care for moderate to severe pain (which was defined as a pain score of > 4 on a scale of 0 to 10, with 10 being the worst) was identified as an area for improvement.RESULTS: The baseline rate of a documented plan of care for pain was 70%. In January 2014, we implemented action plans including an electronic health record trigger for a pain score of > 4, education for fellows and midlevel providers, and establishment of a faculty consensus on documenting management of pain unrelated to cancer. After these interventions, the pain documentation rate improved to 90%.All authors: Agrawal S, Beasley J, Chokshi P, Harkness J, Heller S, Jang S, Ranpura V, Self L, Swain SM, Wood L, Yerasi CFiscal year: FY2015Digital Object Identifier: Date added to catalog: 2016-05-24
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 25690597 Available 25690597

CONCLUSION: After one cycle of PDSA, we achieved our goal of a 90% pain documentation rate. To sustain our project, we continued to monitor the pain documentation rate quarterly in 2014 and continue the process of education and orientation to new staff, rotating residents, and fellows.Copyright © 2015 by American Society of Clinical Oncology.

METHODS: We undertook a structured approach to improve documentation of the plan of care for moderate/severe pain with support from ASCO's Quality Training Program. Our team used standard plan-do-study-act (PDSA) methodology to achieve our goal of 90% documentation. We used a statistical process control chart (p chart) to determine whether our process was under control and to monitor the improvement in the documentation of pain management.

PURPOSE: Appropriate cancer pain documentation is one of the quality measures in the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI). MedStar Washington Cancer Institute has participated in QOPI since 2008, and documenting a plan of care for moderate to severe pain (which was defined as a pain score of > 4 on a scale of 0 to 10, with 10 being the worst) was identified as an area for improvement.

RESULTS: The baseline rate of a documented plan of care for pain was 70%. In January 2014, we implemented action plans including an electronic health record trigger for a pain score of > 4, education for fellows and midlevel providers, and establishment of a faculty consensus on documenting management of pain unrelated to cancer. After these interventions, the pain documentation rate improved to 90%.

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