The application of high-reliability theory to promote pain management.
Evidence-based pain management, a high-volume hospital service, impacts resource utilization and quality indicators. Despite extensive efforts to improve care, outcomes remain poor, and barriers seem insurmountable. Change management strategies that embrace organizational and individual accountabilities are warranted. Conceptualizing evidence-based pain management within the context of high-reliability theory may help redesign systems and processes to better meet needs of patients. The author discusses using a high-reliability framework as a change management strategy.
Samuels
Joanne G
JG
Department of Nursing, University of New Hampshire, Durham, NH, USA. joanne.samuels@unh.edu
D055317:Evidence-Based Practice; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000592:standards; D010146:Pain / Q000451:nursing*; D010147:Pain Measurement / Q000451:nursing*; D017751:Safety Management / Q000379:methods / Q000592:standards