• Manela Glarcher, Firuzan Sari Kundt, Winfried Meissner, and Jürgen Osterbrink.
• Paracelsus Medical University, Institute of Nursing Science and Practice, Austria. Electronic address: manela.glarcher@pmu.ac.at.
• Pain Manag Nurs. 2021 Dec 1; 22 (6): 730-739.

ObjectivesIt is common practice to use pain quality indicators (QI) to accurately assess the medical care situation of patients. This literature review identifies the status quo of acute pain QI among adult inpatients.Data SourcesStudies published in English or German were identified using a systematic search on CINAHL, Cochrane Library, PubMed, Web of Science, and Google Scholar from 01/2007 to 02/2018. Additional pain management journals, conference proceedings, and websites of health organizations and pain societies were manually screened. Studies about postoperative pain in adults (≥18 years) during inpatient stay after all types of surgery in Europe were included in this review.Review/Analysis MethodsThe identified study results were categorized into structural, process, and outcome indicators based on Donabedian's framework of evaluating care quality.ResultsThe search identified 319 citations, of which 20 studies used structure, process, and outcome data including 180,988 patients and 1,970 health care professionals to gain insight into the quality of acute pain management. Overall, 80% used patient surveys to collect data. National data on pain management are reported in five European studies (France [2], the Netherlands, Spain, and Austria).ConclusionsEuropean studies comprehensively comparing acute pain management results are currently missing. Thus, this report highlights the need to develop consensus-based quality indicators in management of acute pain, which take into account both the methodologic quality and the relevance to clinical practice.Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

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