Improving the Pain Experience for Children with Limb Injury in the City of Calgary, Alberta: A Multi-Site Quality Improvement Collaborative

Background: Limb injuries are a common painful condition in emergency department (ED) patients, accounting for 12% of ED visits by children in the city of Calgary, Alberta, Canada. Calgary has one pediatric ED in a freestanding children's hospital and 3 general ED's that treat both adults and children. 68% of pediatric limb injuries in Calgary are treated in the pediatric ED and 32% are treated in a general ED. Local Problem: Baseline data revealed that only 28% of children who visited a Calgary ED with limb injury received an analgesic medication, and the median time from triage to …