title: Evaluation of pain management documentation.
abstract: OBJECTIVE
  Accurate and consistent documentation of pain management, including patient responses regarding improvement in pain scores, is essential for improving patient care. The objective of the project was to evaluate the current prescribing patterns and to review the current documentation for opioid-managed, chronic pain patients in an academic continuity of care medicine clinic.
  
  
  METHODS
  Retrospective data were extracted from currently managed adult, opioid patients to evaluate prescribing patterns and to review documentation processes.
  
  
  RESULTS
  Results reveal inconsistent to absent documentation with most patients receiving prescriptions from multiple providers. Oxycodone/acetaminophen was the most frequently prescribed analgesic.
  
  
  CONCLUSIONS
  The results of this evaluation highlight the opportunity for educational intervention and the development of a structured, institution-specific guideline for prescribing and documenting pain management.
authors: Department of Pharmacy and General Internal Medicine, Medical College of Georgia Health System, Augusta, GA 30912, USA. cderemer@mail.mcg.edu
authors: Christina E
authors: CE
authors: DeRemer
authors: Virginia H
authors: VH
authors: Fleming
authors: Shilpa
authors: S
authors: Brown
authors: J Russell
authors: JR
authors: May
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data*; D000328:Adult; D000698:Analgesia / Q000379:methods*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D002908:Chronic Disease; D005845:Georgia; D006801:Humans; D008499:Medical Records / Q000592:standards*; D010146:Pain / Q000188:drug therapy*; D010147:Pain Measurement; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D055553:Prescription Drugs; D012189:Retrospective Studies
chemical_list: D000701:Analgesics, Opioid; D055553:Prescription Drugs