Other - Specific Pain Conditions/Pain in Specific Populations

This workshop will focus on a systems-wide approach to driving pain care reform for children and young people. We will discuss why driving reform is critical to supporting better access to, and delivery of, ‘right’ pain care for children and young people. ‘Right’ care weighs up benefits and harms, is patient-centred and informed, and is evidence-based. Put simply, encouraging clinical care that reduces the use of things we shouldn’t do that we currently do (low value care), and increases the use of things we should be doing (high value care). Using real world case studies, we will share not just the ‘what’ (knowing) of right care, but critically the knowledge translation aspects of ‘how to’ (doing) implement reform initiatives that enable transformation of pain care for children and young people.

The 2021 Lancet Commission on Paediatric Pain identified partnership with people with lived experience (youth, caregivers) as critical to achieving transformative change in the field. Examples will showcase how people with lived experience with pediatric pain have partnered with researchers, healthcare professionals, and decision-makers to co-develop new health service models to prevent pediatric chronic postsurgical pain, equitable and inclusive best practices guidelines for virtual care, and the first national health standard for pediatric pain.

Key Insight: People with lived experience possess unique expertise that can and should be integrated to co-design needed solutions for pediatric pain management. Their partnership, along with the engagement of multidisciplinary healthcare professionals, and decision-makers, is critical to achieve effective and equitable pediatric pain interventions, health service models, and national standards of care.

This presentation will focus on an innovative knowledge mobilization network, ‘Solutions for Kids in Pain’ (SKIP), designed to support systems strengthening in ‘right’ pain care for Canadian children. This translational initiative connects knowledge producers (scientists), with users (e.g., health professionals, policy makers), with a critical focus on translating the ‘what’ into ‘how’ to support meaningful reform for multi-stakeholder knowledge end-users (e.g., patients, caregivers).

This presentation will focus on systems strengthening at the service level, using the example of an implementation program developed to improve procedure pain management and adopted in five children’s hospitals. The impact of the “Children’s Comfort Promise” initiative on driving reform in ‘right’ procedure pain care through use of audits (e.g., wait times for services, patient satisfaction, pain, clinical outcomes) will be described.