Implementing a Pain Management Protocol in a Rural Primary Care Clinic
No Thumbnail Available
The opioid epidemic has become a major issue in the United States. The purpose of this quality improvement project was to improve opioid prescribing practices in a rural primary care clinic by implementing a pain management protocol. The sample included patients of all ages in the practice that were being managed for their chronic pain issues during a 12-week time frame. This project collected pre-intervention data and post intervention data, utilizing a chart review. The quality improvement initiative included provider and staff education, resource identification and support, patient education and implementation of a formalized pain management protocol. Pre-implementation data identified that 11% of the patients treated were treated per the recommended pain management guidelines. Post-implementation data identified that 41% of the patients were treated per the pain management guidelines. Post implementation data also identified that less patients were treated with opioids and 8% of the patient population were denied refills due to noncompliance with the pain management protocol. There is a need for pain management protocols in primary care clinics. The consistent use of a pain management protocol will decrease the amount of controlled substances prescribed, decrease patient dependence on controlled substances and hold patients more accountable for their pain management journey.
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University