• J Cancer Educ · Jan 2009

    Using quality improvement methodology to improve neuropathic pain screening and assessment in patients with cancer.

    • Ellen M Lavoie Smith, Marie A Bakitas, Peter Homel, Camilo Fadul, Louise Meyer, Karen Skalla, and Marilyn Bookbinder.
    • Department Hematology/Oncology, One Medical Center Drive, Dartmouth-Hitchcock Medical Center/Norris Cotton Cancer Center, Lebanon, NH 03756, USA. Ellen.L.Smith@Hitchcock.org
    • J Cancer Educ. 2009 Jan 1;24(2):135-40.

    BackgroundQuality improvement methodology was used to improve neuropathic pain (NP) screening at a comprehensive cancer center.MethodsNurses participated in educational sessions about screening and assessment. Clinical systems to facilitate documentation of NP severity scores were developed.ResultsPretest and posttest score results demonstrated nurse acquisition of new knowledge. A 90% NP screening adherence rate was achieved (N = 3831). Patients with no reported general pain (n = 291) were found to have moderate to severe NP.ConclusionsKeys to success are (1) health care professional education and periodic reinforcement of learning and (2) system infrastructure changes.

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