Bundling Interventions to Enhance Pain Care Quality (BITE Pain) in Medical Surgical Patients.

Inadequate pain management and undertreatment remain a serious clinical issue among hospitalized adults, contributing to chronic pain syndromes and opioid dependency. Implementation of individual pain care interventions has been insufficient to improve pain care quality. The purpose of this interprofessional, patient-centered project was to implement a 6-component bundle of evidence-based pain management strategies to improve patients' perception of pain care quality and 24-hour pain experience outcomes.

Rapid response systems update.

Rapid response is a mature concept that is undergoing metamorphosis. The ideal structure and function of these safety teams has not yet been realized but new developments in the field of rapid response systems are evolving.

Strategies to improve delirium recognition in hospitalized older adults.

As 24-hour caregivers, nurses' detection of delirium is critical to physician diagnosis because of the waxing and waning of delirium-related clinical features. However, nurses fail to accurately interpret delirium-related clinical features more than 30% of the time.