Some considerations on the quality assurance in pain management
D. P. C. Beltrutti1, P. Parola2, A. Barrera1, R. Bosco1, C. S. Collura1, S Di Santo,1, S. Moessinger1, G. Pappalardo1
1Anesthesia and Resuscitation Service, S. Spirito Hospital Bra, ITALY
2Anesthesia and Resuscitation Service, Pain and Palliative Care Center, S.Croce and Carle General Hospital, Cuneo, ITALY
Keywords: Quality assurance, quality control, pain management
Abstract
The concept of quality control in the health field has been theorized and rationalized in the studies of Donabedian who in the 60’s laid down the basis of “Quality Assurance” defining it as “all those actions that tend to monitor the quality of a service”. During the years in which quality assurance first became an issue, no mention was made of chronic pain treatment in an organic and organized manner as it is today, neither was the health service interested in the “quality of life” and the problems of patients in the terminal stage. Lots of things have changed since that times but also lots of things have to be changed, especially in the developing countries. In this article, the evolution of quality concept in the pain service is reviewed while discussing the goals of the quality assurance in pain management