Pain management experience at a central Taiwan medical center

Abstract

Pain management is typically more developed in western countries compared to Asia. From the accreditation standard of the Joint Commission International (JCI), there is a broad scope for pain management. In 2008, our medical center established the pain management policy, and the goal is to be a pain-free medical facility. The Framework of Pain Management Policy including: 1. the rights of patients and family members 2. Employee education 3. Assessment of pain (screening, evaluating, monitoring) 4. Patient care of pain. After implementation of pain management program, the compliance of pain assessment, the analysis of pain score before and after pain management and the analysis of Pain Management Index (PMI), all showed improvement in pain management program. The consumption of opioids usage steadily increased from 2010 to 2014. The success of our pain management program implementation could be attributed to the clear pain management policy, the firm support of higher leadership, the cooperation of IT department, and the quality control.

Knowledge and attitudes of pediatric clinicians regarding pediatric pain management

“…Since 2008, all patients hospitalized in Taiwanese medical centers receive a standardized procedure of pain management according to a Pain Management Policy based on the accreditation standard for hospitals of the Joint Commission International (Tsao, & Hsieh, 2015). This Pain Management Policy includes four sub‐sections to guide clinical practice: (1) the understanding that freedom from pain is the right of patients and families, (2) the provision of professional education, (3) the implementation of pain assessment as a routine intervention, and (4) the provision of adequate pain management to patients.…”

Comparison of Postoperative Pain Management Outcomes in the United States and China

“…More primary obstacles to pain management may originate from the culture or context of the facilities ( Alaloul et al, 2017 ) and from the opportunity (or lack thereof) to implement changes by applying evidence to practice ( Brown & McCormack, 2005 ). A successful pain management program relies on clear policies and effective support from a multidisciplinary team that is backed by leadership support ( Tsao & Hsieh, 2015 ). Individualized pain risk assessment and stratified pain management protocols are promising trends for improving patient outcomes and efficacy in pain management ( Peng et al, 2019 ).…”