The Pain Stewardship Program
Educational tools to help build a strong multidimensional approach to acute pain management in your hospital
- The Pain Stewardship Program provides educational resources to help your institution align to The Joint Commission 2018 pain assessment and management standards, which help improve patient safety. The standards require accredited hospitals to actively engage medical staff and hospital leadership in improving pain assessment and management, including strategies to decrease opioid use and minimize risks associated with opioid use.1
- Pain Stewardship Program educational materials provide information and resources regarding implementation and strengthening of a multimodal analgesia-based approach to acute pain management, which can help:
- REDUCE opioid use, opioid-related adverse drug events, and length of hospital stays 2-7
- IMPROVE patient satisfaction and pain levels during rest 8-10
- ALIGN with the Enhanced Recovery After Surgery Society Guidelines 11
Enhance the focus on multimodal analgesia-based acute pain care management in your hospital
Align key stakeholders within your institution to help develop a multimodal analgesia approach to pain management
Key stakeholders may include1:
- Nurses, hospitalists, and PCPs
- Anesthesiologists and pharmacists
- Social workers and chaplains
- Physical and occupational therapists
- Wound care specialists
- Case managers, rehabilitation staff, and many more
- The Joint Commission. Pain Management: A Systems Approach to Improving Quality and Safety. 2018. https://www.jcrinc.com. Accessed October 12, 2018.
- Hah J, Mackey SC, Schmidt P, et al. Effect of perioperative gabapentin on postoperative pain resolution and opioid cessation in a mixed surgical cohort: a randomized clinical trial. JAMA Surg. 2018;153(4):303-311.
- Warren JA, Stoddard C, Hunter AL, et al. Effect of multimodal analgesia on opioid use after open ventral hernia repair. J Gastrointest Surg. 2017;21(10):1692-1699.
- Feld JM, Laurito CE, Beckerman M, Vincent J, Hoffman WE. Non-opioid analgesia improves pain relief and decreases sedation after gastric bypass surgery. Can J Anaesth. 2003;50(4):336-341.
- Buvanendran A, Kroin JS, Tuman KJ, et al. Effects of perioperative administration of a selective cyclooxygenase 2 inhibitor on pain management and recovery of function after knee replacement: a randomized controlled trial. JAMA. 2003;290(18):2411-2418.
- Langford RM, Joshi GP, Gan TJ, et al. Reduction in opioid-related adverse events and improvement in function with parecoxib followed by valdecoxib treatment after non-cardiac surgery: a randomized, double-blind, placebo-controlled, parallel-group trial. Clin Drug Investig. 2009;29(9):577-590.
- McLaughlin DC, Cheah JW, Aleshi P, Zhang AL, Ma CB, Feeley BT. Multimodal analgesia decreases opioid consumption after shoulder arthroplasty: a prospective cohort study. J Shoulder Elbow Surg. 2018;27(4):686-691.
- Skinner HB. Multimodal acute pain management. Am J Orthop (Belle Mead NJ). 2004;33(suppl 5):5-9.
- Moore A, Costello J, Wieczorek P, Shah V, Taddio A, Carvalho JC. Gabapentin improves postcesarean delivery pain management: a randomized, placebo-controlled trial. Anesth Analg. 2011;112(1):167-173.
- Fu PL, Xiao J, Zhu YL, et al. Efficacy of a multimodal analgesia protocol in total knee arthroplasty: a randomized, controlled trial. J Int Med Res. 2010;38(4):1404-1412.
- Beverly A, Kaye AD, Ljungqvist O, Urman RD. Essential elements of multimodal analgesia in enhanced recovery after surgery (ERAS) guidelines. Anesthesiol Clin. 2017;35(2):e115-e143.
- Gan TJ, Habib AS, Miller TE, White W, Apfelbaum JL. Incidence, patient satisfaction, and perceptions of postsurgical pain: results from a US national survey. Curr Med Res Opin. 2014;30(1):149-160.