Applied Nursing Research
Volume 25, Issue 2 , Pages 89-94 , May 2012

Abstracting pain management documentation from the electronic medical record: comparison of three hospitals

  • Joanne G. Samuels, PhD, RN

      Affiliations

    • Author Note: Joanne G. Samuels, Assistant Professor, Department of Nursing, University of New Hampshire.

Received 12 January 2010 ,Revised 5 May 2010 ,Accepted 9 May 2010.

References 

  1. Agency for Health Research and Quality (AHRQ) . AHRQ Conference on Health Care Data Collection and Reporting. In: Report of proceedings November 8-9, 2006. Chicago. 2007;AHRQ Publication No. 07-0033-EF. Retrieved from http://healthit.ahrq.gov/portal/server.pt/gateway/PTARGS_0_1248_227079_0_0_18/AHRQ_DataReport_final.pdf
  2. Dahl JL, Gordon DB, Ward S, Skemp M, Wochos S, Schurr M. Institutionalizing pain management: The post-operative pain management quality improvement project. The Journal of Pain. 2003;4(7):361–371
  3. Dalton JA, Carlson J, Blau W, Lindley C, Greer SM, Youngblood R. Documentation of pain assessment and treatment: How are we doing?. Pain Management Nursing. 2001;2(2):54–64
  4. Faherty BS, Grier MR. Analgesic medication for elderly people post-surgery. Nursing Research. 1984;33(6):369–372
  5. Ferrell BR, Whedon MB, Rollins B. Pain and quality assessment/improvement. Journal of Nursing Care Quality. 1995;9(3):69–85
  6. Garets D, Davis M. Electronic medical records vs. electronic health records: Yes, there is a difference. A HIMSS Analytics™ White Paper. Retrieved from http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf2006;
  7. Gordon DB, Dahl JL. Quality improvement challenges in pain management. Pain. 2004;107(1-2):1–4
  8. Gordon DB, Pellino TA, Miaskowski C, McNeill JA, Paice JA, Laferriere D, et al. A 10-year review of quality improvement monitoring in pain management: Recommendations for standardized outcome measures. Pain Management Nursing. 2002;3(4):116–130
  9. Hyun S, Johnson SB, Stetson PD, Bakken S. Development and evaluation of nursing user interface screens using multiple methods. Journal of Biomedical Information. 2009;(in press)
  10. Joint Commission Accreditation Healthcare . 2010 Comprehensive accreditation manual for hospitals: The official handbook (CAMH). Chicago: Joint Commission Resources, Inc.; 2009;
  11. Knapp T. The overemphasis on power analysis. Nursing Research. 1996;45(6):379–381
  12. Marks RM, Sachar EJ. Undertreatment of medical inpatients with narcotic analgesics. Annals of Internal Medicine. 1973;78(2):173–181
  13. Mitiku TF, Tu K. Using data from electronic medical records: Theory versus practice. Healthcare Quarterly. 2008;11(4):23–25
  14. Naipaul AD, Jacobs BR. Improving the quality of pediatric pain assessment using automated electronic health records outcomes reports. In: Proceedings from Eastern Nursing Research Society: 22nd Annual Scientific Sessions. Providence, RI. 2010;
  15. Platt R. Speed bumps, potholes, and tollbooths on the road to panacea: Making best use of data. Health Affairs. 2007;26(2):w153–w155
  16. Saigh O, Triola MM, Link NR. BRIEF REPORT: Failure of an electronic medical record tool to improve pain assessment documentation. Journal of General Internal Medicine. 2006;21(2):185–188
  17. Smith K, Smith V, Krugman M, Oman K. Evaluating the impact of computerized clinical documentation. Computers, Informatics, Nursing (CIN). 2005;23(3):132–138
  18. Titler MG, Herr K, Xie XJ, Brooks JM, Shilling ML, Marsh JL. Summative index: Acute pain management in older adults. Applied Nursing Research. 2009;22(4):264–273

 There were no outside sponsors for this work.

PII: S0897-1897(10)00037-6

doi: 10.1016/j.apnr.2010.05.001

Applied Nursing Research
Volume 25, Issue 2 , Pages 89-94 , May 2012