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December 8, 2025BloodOpen Access

Pediatric sickle cell outpatient pain management: A quality improvement initiative

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Authors

AHAnne L. HarveySDSara M. DrydenSSSarah Schear

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Overview

Quality improvement initiative improved pain management for sickle cell disease, reducing ED visits and enhancing caregiver awareness.

Key Points

  • To improve individualized pain management and caregiver confidence in managing pediatric sickle cell disease patients.
  • Employed Plan-Do-Study-Act (PDSA) methodology to create pain plans
  • Developed individualized pain plans by an interdisciplinary team
  • Analyzed data using Pareto chart and special processing control charts
  • Surveyed caregivers about awareness and utilization of pain plans
  • Individualized pain management plans increased from 0% to 94%
  • Mean calls to clinic rose from 0.8 to 2.7 per month after reminders
  • Mean emergency department visits decreased from 2.1 to 1.4 per month
  • 63% of caregivers using pain plans reported them as helpful

Cite This Study

Harvey et al. (2025) studied this question.

synapsesocial.com/papers/69362f444fa91c937236d5b3https://doi.org/10.1182/blood-2025-2592
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of an Individualized Pain Plan to Treat Sickle Cell Disease Vaso-occlusive Episodes in the Emergency Department2024 · 11 citations
  2. 2Addressing institutional barriers in sickle cell pain management: A resident-led quality improvement study2025
  3. 3Clinical impact of individualized care plans on management of acute pain in the emergency department for children and adults with sickle cell disease2025
  4. 46413 Assessing the management of acute painful episodes in children and young people with sickle cell disease2024
  5. 5Pain screening in youth with sickle cell disease: A quality improvement study2024 · 3 citations