The authors have no conflicts of interest to report.An abstract of this work was presented as a poster at the VA HSR&D National Meeting, 2005 as Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L. Pain as the 5th vital sign: no detectable impact on pain management in a VHA outpatient clinic. Available at http://www1.va.gov/hsrd/about/national_meeting/2005/display_abstract.cfm?RecordID=196.
Measuring Pain as the 5th Vital Sign Does Not Improve Quality of Pain Management
Article first published online: 31 MAY 2006
Journal of General Internal Medicine
Volume 21, Issue 6, pages 607–612, June 2006
How to Cite
Mularski, R. A., White-Chu, F., Overbay, D., Miller, L., Asch, S. M. and Ganzini, L. (2006), Measuring Pain as the 5th Vital Sign Does Not Improve Quality of Pain Management. Journal of General Internal Medicine, 21: 607–612. doi: 10.1111/j.1525-1497.2006.00415.x
- Issue published online: 31 MAY 2006
- Article first published online: 31 MAY 2006
- Manuscript received September 6, 2005Initial editorial decision November 1, 2005Final acceptance January 12, 2006
- 1Management strategy: identifying pain as the fifth vital sign. VHSJ. 2000;49–59., , , et al.
- 2Health Care Advisory Board. Pain Management in the VA and the Private Sector. Washington, DC: The Advisory Board Company; 1998.
- 5American Pain Society. Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain. 4th edn. Glenview, IL: American Pain Society; 1999.
- 6Veterans Health Administration National Pain Management Strategy. November 12, 1998.
- 7Department of Veterans Affairs. VHA Directive 2003-021: Pain Management. May 2, 2003. Available at: http://www1.va.gov/pain_management/docs/VHAPainDirective_03.pdf. Accessed January 2005.
- 8Veterans Health Administration Memorandum: Pain as the Fifth Vital Sign. March 1, 1999.
- 9Veterans Health Administration. Pain as the 5th vital sign toolkit. October 2000, revised edition. Geriatrics and Extended Care Strategic Healthcare Group, National Pain Management Coordinating Committee. Available at: http://www.va.gov/oaa/pocketcard/pain.asp. Accessed January 2005.
- 11JCAHO. Pain Assessment and Management Standards [online]. Available at: http://www.jcaho.org/standard/pm. Accessed July 16, 2002.
- 12DoyleD, HanksGWG, MacDonaldN, eds. Oxford Textbook of Palliative Medicine. 2nd edn. Oxford, U.K.: Oxford University Press; 1998.
- 13PASS User's Guide. Kaysville, UT: NCSS; 2000.
- 20Opioid therapy for chronic pain—clinical practice guidelines. Available at: http://www.oqp.med.va.gov/cpg/cot/ot_base.htm. Accessed January 23, 2005.
- 21Department of Veterans Affairs. VHA Pain Outcomes Toolkit. February 2003. National VA Pain Outcomes Working Group, National VA Pain Management Coordinating Committee.
- 22Pain management improvement strategies in the Veteran's Health Administration. APS Bull. 2003;13Available at: http://www.ampainsoc.org/pub/bulletin/sep03/article1.htm. Accessed February 22, 2005.,
- 24Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study. Ann Intern Med. 2004;17, 141:272–81., , , et al.