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Improving the Quality of Pain ManagementThrough Measurement and Action
NATIONALPHARMACEUTICALCOUNCIL, INC
This monograph was developed by JCAHO as part of a collaborative project with NPC.
March 2003
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 Joint Commission Mission Statement:
To continuously improve the safety and quality of care provided to the public through the provision of health care accreditation andrelated services that support performance improvement in health care organizations.All rights reserved. Reprinting of the material is prohibited in any form or by any means without written permission from the publisher. Requests for permission to reprint or make copies of any part of this work should be mailed to: Permissions EditorDepartment of Publications  Joint Commission Resources, Inc. One Renaissance Boulevard Oakbrook Terrace, IL 60181 www.jcrinc.com @ 2003 by the Joint Commission on Accreditation of Healthcare Organizations For information about the Joint Commission on Accreditation of Healthcare Organizations, please visit www.jcaho.org. For informationabout Joint Commission Resources, please visit www.jcrinc.com.DISCLAIMER: This monograph was developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) forwhich it is solely responsible. Another monograph titled “Pain: Current Understanding of Assessment, Management, and Treatmentswas developed by the National Pharmaceutical Council (NPC) for which it is solely responsible. The two monographs were producedunder a collaborative project between JCAHO and NPC and are jointly distributed. The goal of the collaborative project is to improvethe quality of pain management in health care organizations. This monograph is designed for informational purposes only and is not intended as a substitute for medical or professional advice.Readers are urged to consult a qualified health care professional before making decisions on any specific matter, particularly if itinvolves clinical practice. The inclusion of any reference in this monograph should not be construed as an endorsement of any of thetreatments, programs or other information discussed therein. JCAHO has worked to ensure that this monograph contains useful infor-mation, but this monograph is not intended as a comprehensive source of all relevant information. In addition, because the informationcontained herein is derived from many sources, JCAHO cannot guarantee that the information is completely accurate or error free. JCAHO is not responsible for any claims or losses arising from the use of, or from any errors or omissions in, this monograph.
 
Editorial Advisory Board
Patricia Berry, PhD, APRN, BC, CHPN
Assistant Professor College of Nursing University of Utah Salt Lake City, UT
June L. Dahl, PhD
Professor of Pharmacology University of Wisconsin Medical SchoolMadison, WI
Marilee Ivers Donovan, PhD, RN
Clinical Nurse Specialist/Manager Kaiser Permanente Northwest Chronic Pain Management Clinic Portland, OR
Perry G. Fine, MD
Associate Medical Director Pain Management Center Professor of Anesthesiology University of Utah Salt Lake City, UT
Christine Miaskowski, RN, PhD, FAAN
Professor and Chair Department of Physiological Nursing University of California San Francisco, CA
Mark Stillman, MD
Section HeadSection of Headache and PainDepartment of NeurologyCleveland Clinic FoundationCleveland, OH
Karen L. Syrjala, PhD
Associate Professor Psychiatry and Behavioral Sciences University of Washington-School of MedicineAssociate MemberFred Hutchinson Cancer Research CenterSeattle, WA
Joint Commission Project Team
Vice President, Division of Research  Jerod M. Loeb, PhD Project Director Barbara I. Braun, PhD Project Coordinator Annette Riehle, MSN Research Assistant Kristine M. Donofrio Editorial Consultant Lindsay Edmunds, PhD

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