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A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital
Jodi Wilding1, Hailey Scott2, Victoria Suwalska3
1274065Children's Hospital of Eastern Ontario (CHEO) Research Institute, Ottawa, Ontario, Canada.
Summary
This study assessed pediatric pain management, finding no improvements despite interventions. Further initiatives are needed to enhance pain control for hospitalized children.
Area of Science:
- Pediatric Healthcare
- Pain Management
- Quality Improvement
Background:
- Hospitalized children frequently experience moderate to severe pain.
- Painful procedures, particularly needle-related ones, are common.
- Current pain management strategies are often underutilized.
Purpose of the Study:
- To evaluate and enhance pain management practices in a pediatric teaching hospital.
- To identify gaps in pain assessment and treatment for hospitalized children.
Main Methods:
- A pre- and post-intervention study using the Health Quality Ontario Quality Improvement framework.
- Data collection involved chart reviews and surveys of children and caregivers.
- Assessed pain intensity, procedures, treatments, and satisfaction.
Main Results:
- Most children reported moderate to severe pain at both assessment points.
- Needle-related procedures were common, with infrequent use of pain management strategies.
- Despite feedback, no significant improvements in pain management were observed.
Conclusions:
- The study highlighted persistent challenges in pediatric pain management.
- Findings underscore the need for continued efforts and refined strategies to improve pain control in hospitalized children.
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