Cancer pain management and the JCAHO's pain standards: An institutional challenge

Marlene Zichi Cohen, Mary K. Easley, Coni Ellis, Beverly Hughes, Kristin Ownby, Beverly Green Rashad, Mari Rude, Ellen Taft, Joycelyn Bailey Westbrooks

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

Unrelieved pain is a major medical problem. In response to this problem, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) launched new standards for pain management in 1999. A review was conducted in five hospitals of 117 charts of 80 inpatients and 37 outpatients with cancer who had pain documented in their medical records to determine whether application of these JCAHO standards was documented. Pain assessment and management were not documented for most patients. Pain intensity was noted for 57% of outpatients and 53% of inpatients. When pain was documented, treatment was noted in 86% of outpatients' charts and 89% of inpatients' charts. Of those patients with documented pain, reassessment after treatment was reported in 34% of the outpatient charts and 44% of the inpatient charts. Work to properly manage cancer pain needs to continue, and the JCAHO standards provide a mechanism to evaluate practice documentation in order to improve care.

Original languageEnglish (US)
Pages (from-to)519-527
Number of pages9
JournalJournal of Pain and Symptom Management
Volume25
Issue number6
DOIs
StatePublished - Jun 1 2003

Fingerprint

Joint Commission on Accreditation of Healthcare Organizations
Pain Management
Inpatients
Pain
Outpatients
Pain Measurement
Documentation
Medical Records
Cancer Pain
Therapeutics
Neoplasms

Keywords

  • Cancer
  • JCAHO standards
  • Pain management

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Cohen, M. Z., Easley, M. K., Ellis, C., Hughes, B., Ownby, K., Rashad, B. G., ... Westbrooks, J. B. (2003). Cancer pain management and the JCAHO's pain standards: An institutional challenge. Journal of Pain and Symptom Management, 25(6), 519-527. https://doi.org/10.1016/S0885-3924(03)00068-X

Cancer pain management and the JCAHO's pain standards : An institutional challenge. / Cohen, Marlene Zichi; Easley, Mary K.; Ellis, Coni; Hughes, Beverly; Ownby, Kristin; Rashad, Beverly Green; Rude, Mari; Taft, Ellen; Westbrooks, Joycelyn Bailey.

In: Journal of Pain and Symptom Management, Vol. 25, No. 6, 01.06.2003, p. 519-527.

Research output: Contribution to journalArticle

Cohen, MZ, Easley, MK, Ellis, C, Hughes, B, Ownby, K, Rashad, BG, Rude, M, Taft, E & Westbrooks, JB 2003, 'Cancer pain management and the JCAHO's pain standards: An institutional challenge', Journal of Pain and Symptom Management, vol. 25, no. 6, pp. 519-527. https://doi.org/10.1016/S0885-3924(03)00068-X
Cohen, Marlene Zichi ; Easley, Mary K. ; Ellis, Coni ; Hughes, Beverly ; Ownby, Kristin ; Rashad, Beverly Green ; Rude, Mari ; Taft, Ellen ; Westbrooks, Joycelyn Bailey. / Cancer pain management and the JCAHO's pain standards : An institutional challenge. In: Journal of Pain and Symptom Management. 2003 ; Vol. 25, No. 6. pp. 519-527.
@article{e4b581fd5c5945e8a5e5542c5f612b03,
title = "Cancer pain management and the JCAHO's pain standards: An institutional challenge",
abstract = "Unrelieved pain is a major medical problem. In response to this problem, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) launched new standards for pain management in 1999. A review was conducted in five hospitals of 117 charts of 80 inpatients and 37 outpatients with cancer who had pain documented in their medical records to determine whether application of these JCAHO standards was documented. Pain assessment and management were not documented for most patients. Pain intensity was noted for 57{\%} of outpatients and 53{\%} of inpatients. When pain was documented, treatment was noted in 86{\%} of outpatients' charts and 89{\%} of inpatients' charts. Of those patients with documented pain, reassessment after treatment was reported in 34{\%} of the outpatient charts and 44{\%} of the inpatient charts. Work to properly manage cancer pain needs to continue, and the JCAHO standards provide a mechanism to evaluate practice documentation in order to improve care.",
keywords = "Cancer, JCAHO standards, Pain management",
author = "Cohen, {Marlene Zichi} and Easley, {Mary K.} and Coni Ellis and Beverly Hughes and Kristin Ownby and Rashad, {Beverly Green} and Mari Rude and Ellen Taft and Westbrooks, {Joycelyn Bailey}",
year = "2003",
month = "6",
day = "1",
doi = "10.1016/S0885-3924(03)00068-X",
language = "English (US)",
volume = "25",
pages = "519--527",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Cancer pain management and the JCAHO's pain standards

T2 - An institutional challenge

AU - Cohen, Marlene Zichi

AU - Easley, Mary K.

AU - Ellis, Coni

AU - Hughes, Beverly

AU - Ownby, Kristin

AU - Rashad, Beverly Green

AU - Rude, Mari

AU - Taft, Ellen

AU - Westbrooks, Joycelyn Bailey

PY - 2003/6/1

Y1 - 2003/6/1

N2 - Unrelieved pain is a major medical problem. In response to this problem, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) launched new standards for pain management in 1999. A review was conducted in five hospitals of 117 charts of 80 inpatients and 37 outpatients with cancer who had pain documented in their medical records to determine whether application of these JCAHO standards was documented. Pain assessment and management were not documented for most patients. Pain intensity was noted for 57% of outpatients and 53% of inpatients. When pain was documented, treatment was noted in 86% of outpatients' charts and 89% of inpatients' charts. Of those patients with documented pain, reassessment after treatment was reported in 34% of the outpatient charts and 44% of the inpatient charts. Work to properly manage cancer pain needs to continue, and the JCAHO standards provide a mechanism to evaluate practice documentation in order to improve care.

AB - Unrelieved pain is a major medical problem. In response to this problem, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) launched new standards for pain management in 1999. A review was conducted in five hospitals of 117 charts of 80 inpatients and 37 outpatients with cancer who had pain documented in their medical records to determine whether application of these JCAHO standards was documented. Pain assessment and management were not documented for most patients. Pain intensity was noted for 57% of outpatients and 53% of inpatients. When pain was documented, treatment was noted in 86% of outpatients' charts and 89% of inpatients' charts. Of those patients with documented pain, reassessment after treatment was reported in 34% of the outpatient charts and 44% of the inpatient charts. Work to properly manage cancer pain needs to continue, and the JCAHO standards provide a mechanism to evaluate practice documentation in order to improve care.

KW - Cancer

KW - JCAHO standards

KW - Pain management

UR - http://www.scopus.com/inward/record.url?scp=0038054452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038054452&partnerID=8YFLogxK

U2 - 10.1016/S0885-3924(03)00068-X

DO - 10.1016/S0885-3924(03)00068-X

M3 - Article

C2 - 12782432

AN - SCOPUS:0038054452

VL - 25

SP - 519

EP - 527

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 6

ER -