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#36229 Pain management committee: contributions, compromises, and lessons learned – real world evidence from a Tunisian Academic Hospital
  1. Zeineb Sghaier
  1. Medical Oncology, Hu Habib Bougatfa, Bizerte, Tunisia


Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)

Application for ESRA Abstract Prizes: I don’t wish to apply for the ESRA Prizes

Background and Aims Effective pain management is a key priority at our institution and is coordinated by the Pain Control Committee (PCC), which is a regulatory and multidisciplinary board established in 2018. In this study, we aimed to evaluate the PCC’s activities and impact in improving pain management.

Methods An observational study was conducted by reviewing data from annual reports and patient records.

Results Since its implementation, the PCC has trained nearly 300 participants (primarily paramedics) , through seminars and workshops. Additionally, 25 documents outlining pain assessment and management, including 2 standard operating procedures, 13 protocols, 2 informative documents, and 8 algorithms, were written, validated, and transmitted across all relevant departments. The clinical training of a pain expert nurse and a physiotherapist failed due to organizational reasons. The most common challenges faced by the PCC included a lack of traceability, time, and willingness of senior practitioners and pain referents to actively adhere to the committee’s teamwork actions. The main limiting factors were the lack of therapists with advanced training in acute and/or chronic pain management, such as anesthesiologists and psychologists, as well as financial issues.

Conclusions Real-world evidence revealed many insufficiencies and challenges in the implementation of the structured plans of pain management committee. Sustained efforts and a never-ending commitment to pain management are necessary to maintain the virtuous circle of continious improvement. The Deming Cycle (Plan-Do-Check-Act) can help improve organizational efficiency in this regard.

  • Pain management
  • Pain Control Committee (PCC)
  • Real-world evidence
  • Challenges and limitations
  • Continuous improvement
  • Deming cycle.

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