Using quality improvement methodology to improve neuropathic pain screening and assessment in patients with cancer

J Cancer Educ. 2009;24(2):135-40. doi: 10.1080/08858190902854715.

Abstract

Background: Quality improvement methodology was used to improve neuropathic pain (NP) screening at a comprehensive cancer center.

Methods: Nurses participated in educational sessions about screening and assessment. Clinical systems to facilitate documentation of NP severity scores were developed.

Results: Pretest and posttest score results demonstrated nurse acquisition of new knowledge. A 90% NP screening adherence rate was achieved (N = 3831). Patients with no reported general pain (n = 291) were found to have moderate to severe NP.

Conclusions: Keys to success are (1) health care professional education and periodic reinforcement of learning and (2) system infrastructure changes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Clinical Competence / standards*
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Neoplasms / complications
  • Neoplasms / physiopathology*
  • Neuralgia / diagnosis*
  • Pain / prevention & control*
  • Pain Management
  • Pain Measurement / methods*
  • Program Evaluation
  • Young Adult