The Barriers to High-Quality Inpatient Pain Management: A Qualitative Study
Open accessAbstract
The current literature suggests deficiencies in the quality of acute pain management among general medical inpatients. The aim of this qualitative study is to identify potential barriers to high-quality acute pain management among general medical inpatients at an urban academic medical center during a 2-year period. Data are collected using retrospective chart reviews, survey questionnaires, and semistructured, open-ended interviews of 40 general medical inpatients who have experienced pain during their hospitalization. Our results confirm high prevalence and disabling impacts of pain and significant patient- and provider-related barriers to high-quality acute pain management. We also identify unique system-related barriers such as time delay and pain management culture. Efforts to improve the pain management experience of general medical inpatients will need to address all these barriers.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Effective hospital-based pain management is compromised by barriers including patient perceived helplessness, lack of education and non-pharmacological interventions, and significant time delay in analgesic administration.
“Effective hospital-based pain management is compromised by a number of barriers, including patient perceived helplessness, lack of education and non-pharmacological interventions, and significant time delay in analgesic administration. 3”
From Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting. (2017) · cites this paper as [3]
Poorly managed acute pain can lead to increased hospitalization costs, reduced patient satisfaction, and risk of persistent pain.
“Poorly managed acute pain can lead to increased hospitalization costs, 3 reduced patient satisfaction, 4 and risk of persistent pain. 5”
From Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting. (2017) · cites this paper as [3]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 28 · Cited by 35
- Authors
- Lin, R. J., Reid, M. C., Liu, L. L., Chused, A. E., & Evans, A. T.
- Affiliations
- Weill Cornell Medicine (US)
- Corresponding author
- Lin, Richard J.
- Venue
- American Journal of Hospice and Palliative Medicine®
- Publisher
- SAGE Publications
- Published
- 2014-04-11
- Volume
- 32
- Issue
- 6
- Pages
- 594-599
- ISSN
- 1049-9091 (ISSN-L)
- 1938-2715
- PMC
- PMC4363093
- OpenAlex
- W2011683435
- Cited by
- 35
- References
- 28
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 2 · 2014: 1
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Hospice and Palliative Medicine® (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000457)
- Weill Cornell Medical College
- National Institute on Aging (P30AG022845)
- National Center for Research Resources (UL1RR024996)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- acute pain management, general medical inpatients, pain prevalence, academic medical centers
- MeSH terms
- Academic Medical Centers, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Inpatients, Male, Middle Aged, Retrospective Studies, Urban Population, Young Adult, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review