Morphine and hydromorphone are sometimes ordered as needed for "breakthrough pain". We realized that we don't have a set definition for "breakthrough pain", and its interpretation can vary, which is not in compliance with TJC MM 04.01.01, "Medication orders are clear and accurate".
The attached article presents a variety of "breakthrough pain" definitions and concludes, "the present systematic review is a small first step towards achieving eventual consensus in a definition of breakthrough pain by demonstrating the magnitude of the problem and providing a comprehensive and exhaustive summary of different definitions."
Would you mind sharing how your institution defines "breakthrough pain"?
Thanks!
