Unscheduled readmissions for uncontrolled symptoms. A health care challenge for nurses.
The purpose of this study was to measure the impact of nursing strategies to improve cancer pain management on hospital readmission for uncontrolled pain. Strategies include implementing a pain resource nurse program (PRN), making pain management a focus in the continuous quality improvement process of the institution and creating a supportive care service. Admissions were compared before and after implementation of the strategies. Results for 1989 to 1990 revealed 5772 total admission with 4.4% (255) admissions for uncontrolled pain; results for 1992 to 1993 revealed 4066 total admissions with 3.0% (121) admissions for uncontrolled pain. Findings indicate that strategies were effective in reducing the number of readmissions for uncontrolled pain.
Grant
M
M
City of Hope National Medical Center, Nursing Research and Education, Duarte, California, USA.
Ferrell
B R
BR
Rivera
L M
LM
Lee
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000503:physiopathology*; D009720:Nurse Clinicians / Q000458:organization & administration; D009732:Nursing Care / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education; D010146:Pain / Q000209:etiology / Q000451:nursing*; D010348:Patient Care Team / Q000458:organization & administration; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data*; D015397:Program Evaluation; D017749:Total Quality Management