You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Better Pain Management After Total Joint Replacement Surgery: A Quality Improvement Approach

Gillaspie, Marisa

Orthopaedic Nursing:
doi: 10.1097/NOR.0b013e3181c8cd32

Following the implementation of an innovative analgesic and pain management pathway for patients undergoing total joint replacement at Virginia Mason Medical Center, a multidisciplinary team of providers identified additional pain management needs related to patient education and communication. Utilizing several quality improvement strategies, including a “gemba walk” and a “Plan, Do, Study, Act” methodology, a comprehensive, evidence-based patient education tool was developed. The quality improvement process detailed in this article focuses on outcomes related to enhanced patient and provider communication, enhanced patient education, and accurate provider pain assessment. The framework that is presented can be applied to many problems that may exist in the acute care setting.

Author Information

Marisa Gillaspie, MSN, RN, ACNS-BC, St. Francis Hospital, Federal Way, Washington.

The author has disclosed that she has no financial relationships related to this article.

For more than 22 additional continuing nursing education articles related to the topic of pain management, go to

© 2010 National Association of Orthopaedic Nurses