SynthesisPain research & management
Quality indicators for the assessment and management of pain in the emergency department: a systematic review.
Synthesis in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed.
- Trial
- Pain Experience and Patient-Reported Barriers to Analgesic Use in Emergency Care in Ghana: A Cross-Sectional Study.Health science reports · 2026Article
- Pain assessment and management in the emergency department: A prospective quasi-experimental study.Journal of family medicine and primary care · 2026Article
- The Kids Pain Collaborative: A Hybrid Type 3 Implementation Effectiveness Study Transforming Paediatric Pain Care in the Emergency Department.Journal of advanced nursing · 2025Article
- Emergency department performance assessment using administrative data: A managerial framework.PloS one · 2023Review
- Relevance of cortisol and copeptin blood concentration changes in an experimental pain model.Scientific reports · 2022Article
- Pain management in children and young adults with minor injury in emergency departments in the UK and Ireland: a PERUKI service evaluation.BMJ paediatrics open · 2022Article
- Acute Pain Assessment Inadequacy in the Emergency Department: Patients' Perspective.Journal of patient experience · 2022Article
- Hot off the press: the RAMPED trial-methoxyflurane for analgesia in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- An observational cohort study comparing ibuprofen and oxycodone in children with fractures.PloS one · 2021Observational
- Improving timely analgesia administration for musculoskeletal pain in the emergency department.BMJ open quality · 2020Article
- Study protocol for a randomised controlled trial of humanoid robot-based distraction for venipuncture pain in children.BMJ open · 2018Article
- Procedural pain in children: a qualitative study of caregiver experiences and information needs.BMC pediatrics · 2018Article
- Pain assessment in the Emergency Department. Correlation between pain rated by the patient and by the nurse. An observational study.Acta bio-medica : Atenei Parmensis · 2018Observational
- Educational Intervention Effect on Pain Management Quality in Emergency Department; a Clinical Audit.Advanced journal of emergency medicine · 2018Article
- Prospective study on prevalence, intensity, type, and therapy of acute pain in a second-level urban emergency department.Journal of pain research · 2017Article
- Increased analgesia administration in emergency medicine after implementation of revised guidelines.International journal of emergency medicine · 2016Article
- Assessment of pain in a Norwegian Emergency Department.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundEvidence indicates that pain is undertreated in the emergency department (ED). The first step in improving the pain experience for ED patients is to accurately and systematically assess the actual care being provided. Identifying gaps in the assessment and treatment of pain and improving patient outcomes requires relevant, evidence-based performance measures.
objectiveTo systematically review the literature and identify quality indicators specific to the assessment and management of pain in the ED.
methodsFour major bibliographical databases were searched from January 1980 to December 2010, and relevant journals and conference proceedings were manually searched. Original research that described the development or collection of data on one or more quality indicators relevant to the assessment or management of pain in the ED was included.
resultsThe search identified 18,078 citations. Twenty-three articles were included: 15 observational (cohort) studies; three before-after studies; three audits; one quality indicator development study; and one survey. Methodological quality was moderate, with weaknesses in the reporting of study design and methodology. Twenty unique indicators were identified, with the majority (16 of 20) measuring care processes. Overall, 91% (21 of 23) of the studies reported indicators for the assessment or management of presenting pain, as opposed to procedural pain. Three of the studies included children; however, none of the indicators were developed specifically for a pediatric population.
conclusionGaps in the existing literature include a lack of measures reflecting procedural pain, patient outcomes and the pediatric population. Future efforts should focus on developing indicators specific to these key areas.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.