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The Barriers to High-Quality Inpatient Pain Management: A Qualitative Study
Richard J Lin1, M Carrington Reid2, Lydia L Liu2
1Department of Medicine, Weill Cornell Medical College, New York, NY, USA ril9016@med.cornell.edu.
Abstract:
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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