Organizations that are committed to improved pain management must establish - and enforce - institutional standards. There are several ways to do this; some have been tested in PDSA cycles, and some have not. Most seem like reasonable ideas that could be "tested" with a small number of patients.
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This online version of the book Improving Care for the End of Life: A Sourcebook for Health Care Managers and Clinicians is provided with permission of Americans for Better Care of the Dying [ www.abcd-caring.org ] and Oxford University Press. All rights reserved.
For further information on quality improvement in end-of-life care visit The Palliative Care Policy Center [ www.medicaring.org ].