Pain documentation audit and repeted feedback

Pain documentation audit

Repeated feedback monthly based on previous month pain documentation audit results.

MEASUREMENT TOOL: Structured audit frame to evaluate pain assessment and management documentation.

UNIT OF MEASURE:

Information is collected as follows from EHR

1. Patient pain documented in the care chart
2. Patient need for pain management documented
3. Patient pain management goal documented
4. Patient pain assessment
5. Patient pain assessment in the previous 24 hours
6. Patient pain
7. Use of pain assessment tool
8. Non-pharmacological methods
9. Pharmacological interventions
10. Intervention (pharmacological or non-pharmacological effect assessment)

Multiple measurements are aggregated to achieve one declared value as follows:

First, each evaluated area results in 0 (not fulfilled) or 1 point (fulfilled). Second, the points are summed. Third, the sum is transformed to a 0-100 scale and reported as a single value reflecting pain documentation quality.

Pain knowledge questionnaire used in three time points

Nursing patient feedback questionnaire analyzed at two time points