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December 8, 2025Blood

Addressing institutional barriers in sickle cell pain management: A resident-led quality improvement study

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Authors

SJSiddhant Jain

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Overview

Quality improvement initiative enhances pain management practices in sickle cell disease, highlighting stigma and opioid prescribing issues.

Key Points

  • This project aimed to enhance resident knowledge and practices in sickle cell pain management according to ASH guidelines.
  • Conducted a quality improvement initiative among internal medicine and med-peds residents.
  • Administered pre- and post-intervention surveys to assess knowledge and practice changes.
  • Implemented a resident-led educational presentation and provided practice guidelines as part of the intervention.
  • Significant increases in awareness of opioid dosing protocol (30% to 70%), tailored opioid regimens (40% to 65%), and mental health screening (27% to 57%).
  • Residents reported improved comfort in advocating for pain control (20% to 50%).
  • Persistent barriers included stigma and discomfort with high-dose opioid prescribing, despite improved knowledge.

Cite This Study

Siddhant Jain (2025) studied this question.

synapsesocial.com/papers/69362f7f4fa91c937236e59fhttps://doi.org/10.1182/blood-2025-6155
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Also Consider

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

  1. 1Pediatric sickle cell outpatient pain management: A quality improvement initiative2025
  2. 26413 Assessing the management of acute painful episodes in children and young people with sickle cell disease2024
  3. 3Insights from a Sickle Cell Disease Community-Based Organization Stigma Intervention2024 · 2 citations
  4. 4DECREASING TIME TO NARCOTIC PAIN MEDICATION IN PATIENTS WITH SICKLE CELL DISEASE PRESENTING WITH ACUTE PAIN CRISES IN A PEDIATRIC EMERGENCY DEPARTMENT: A QUALITY IMPROVEMENT INITIATIVE.2025
  5. 5Assessing quality metrics in sickle cell disease: A multicenter review of community hospitals in southwestern Ontario from 2017-2024.2025