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Improving pain management in an hospital ward by implementing an educational intervention: A prospective cohort study
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  • maayan ben sasson,
  • Ofir Hagalili,
  • Elad Schiff,
  • Samuel Attias,
  • Simon Vulfsons
maayan ben sasson
Rambam Health Care Campus

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Ofir Hagalili
Bnei Zion Hospital
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Elad Schiff
Bnei Zion Hospital
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Samuel Attias
Bnei Zion Hospital
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Simon Vulfsons
Rambam Health Care Campus
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Abstract

Introduction: the Pain management in internal medicine ward is a common problem. Studies have shown that the evaluation of pain and its documentation by the medical staff is inaccurate and tends to underestimate the level of pain reported by patients. In addition, Physicians often report lack of knowledge and misconceptions regarding pain management. Objectives: To assess the impact of a structured pain educational program on knowledge, skills and abilities [KSA’s] of internal medicine ward physicians in pain management. Methods: Eleven physicians from Internal medicine ward B at Bnai-Zion Medical Center, a tertiary academic center in Israel, participated in a pain educational program. Questioners regarding pain KSA’s, were completed before and after the educational intervention. Concomitantly, a pain management protocol was implemented in the department. Results: There was a 55.5% (P.value = 0.003) improvement in the overall satisfaction of the physicians regarding pain management in the internal ward on a 1 to 6 Likert scale (1-strongly disagree, 6-strongly agree) .In a modified KnowPain50 [KP50] questionnaire that assesses physicians KSA, the average score for all physicians improved by 15.3% (P.value = 0.012) after the intervention. Conclusion: A targeted educational intervention on pain management can improve physician’s KSA, and this we belive may lead to a better treatment for patients suffering from pain in the hospital scenerio.