Evidence map›Paper›PMID 42847021›Full record

ArticleCanadian journal of pain = Revue canadienne de la douleur2026

A Formalized Pathway to Sustained Quality Improvement in Pediatric Pain Care: A ChildKind International Certification Experience.

Angela Bokenfohr, Elise Kammerer, Hayley Turnbull, Jesusa Pulongbarit, Andrea Razcon Echeagaray, Tara McGrath, Dana Nagel, Calveen Basi, Erica Thomas, Maretta Walker and 5 more

Abstract readCase Reports
In one paragraph

Article in Canadian journal of pain = Revue canadienne de la douleur, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Angela BokenfohrPediatric Trauma, Surgery and ChildKind, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Elise KammererDepartment of Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Hayley TurnbullDepartment of Pediatrics, University of Saskatchewan, Saskatoon, Alberta, Canada.
Jesusa PulongbaritPediatric Trauma, Surgery and ChildKind, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Andrea Razcon EcheagarayDepartment of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Tara McGrathDepartment of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Dana NagelPatient and Family Centred Care Council, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Calveen BasiCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Erica ThomasPatient and Family Centred Care Council, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Maretta WalkerPatient and Family Centred Care Council, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Alison NaylorChild Life Services, Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Christine WesterlundStollery Children's Hospital, Alberta Health Services, Edmonton, Alberta, Canada.
Kathryn A BirnieDepartment of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, Alberta, Canada.
Christine T ChambersDepartment of Psychology and Neuroscience and Department of Pediatrics, Dalhousie University, Halifax, Alberta, Canada.
Samina AliDepartment of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-0595-364X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Untreated pediatric pain is associated with serious immediate and long-term negative consequences, yet a significant evidence-to-practice gap persists. To formally bridge this gap, the Stollery Children's Hospital (SCH), a tertiary care center in Canada, pursued ChildKind International (CKI) certification, a globally recognized standard for excellence in pediatric pain care. Aims: To describe the CKI certification process at SCH, highlighting strategies for institutional culture change and key implementation barriers, facilitators, and lessons learned in order to inform other institutions undertaking similar quality improvement initiatives. Methods: The SCH CKI journey spanned nearly six years, beginning with a comprehensive environmental scan and gap analysis informed by patient, family, and healthcare provider perspectives. Strategies included intentional team composition, integrating patient partners, securing institutional funding, and aligning CKI principles with the hospital's strategic priorities. Implementation focused on all five CKI principles, including creating a "Pain Dashboard" for continuous post-certification self-monitoring and developing site-specific, evidence-informed pain resource documents. Results: Despite challenges, including a multi-year funding hold due to the COVID-19 pandemic, the SCH achieved CKI certification in January 2025. Key successes included hospital-wide engagement of clinical and non-clinical staff, integration of specialized pain roles into existing positions to support sustainability, and establishing local governance for ongoing quality improvement. Conclusions: The CKI certification process provides a formalized, multi-faceted pathway for sustained quality improvement in pediatric pain care. Success relies on robust interest-holder engagement, dedicated resources, and integrating the CKI principles into the permanent institutional culture and governance structure.

Indexed as

childrencomfortcontinuous quality improvementdistressPainpediatrics

Identifiers

PMID42847021
PMCPMC13644615

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.