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ISSUE NO 6 11 NEWS & REVIEWS are now in routine use. The 1st meeting of the Pain Unit, UNIDOR, Leiria has now taken place. This multidisciplinary meeting discussed pain management issues and was designed to raise aware- ness between health professionals. With 130 people attending, themes discussed included pain manage- ment in primary care, benchmarking in low back pain, acute pain units, chronic post- surgical pain and bre- akthrough pain. This meeting was also the first opportunity to present the PAIN EDUCATION Workshop. This re- presents a good example of a pro- ject for the improvement of pain management at the hospital level. Other local projects supported CHANGE PAIN® include the partner- ship of UNIDOR with a local Primary Care Unit and also collaboration with the Health Research Unit at the Polytechnic Institute of Leiria to instigate an epidemiological study into pain prevalence in the local pri- mary care population. CHANGE PAIN® was launched in Portugal in October 2011. Since the launch much has been done to raise awareness of the impact of pain in the medical press. National initia- tives are in place aimed at encou- raging epidemiological studies and recognition of the societal impact of pain. A number of national societies are supporting the pain education workshops including the Associação Portuguesa dos Médicos de Clínica- Geral, Clube de Anestesia Regional, Sociedade Portuguesa de Neurolo- gia and the Sociedade Portuguesa de Radioterapia Oncologica. Although there is no eCME certi- fication in Portugal, via the CHANGE PAIN® website 200 respondents are now registered as able to take the three available modules. Forty-two opinion leaders have now been trained and 12 PAIN EDUCATION workshops held with a total of 407 participants. At a local level, the CHANGE PAIN® program has been implemented at UNIDOR, HSA, Leiria. This con- ceptual project is focused on total quality pain management, based on the recommendations of the National Program for Pain Control and the principles of the Joint Com- mission International (JCI). Under this project, the “HOSPITAL SEM DOR”, PAIN FREE HOSPITAL is now functioning under strategic cores aimed at improving pain ma- nagement through improvements in quality and patient safety, effici- ent management, and moderniza- tion of infrastructure. Goals include the incorporation of an integral pain strategy, integral care procedures, patient safety policies and best prescribing practice. A training pro- gram has been put in place at the primary care level for professionals within the hospital, and also for pa- tients and caregivers. A Multidis- ciplinary Pain Committee is now in place and each ward has health professionals trained in pain ma- nagement. CHANGE PAIN® toolsthis project, the “HOSPITAL SEM nagement. CHANGE PAIN tools “HOSPITAL SEM DOR“, PAIN FREE HOSPITAL AT HSA, LEIRIA Integral Pain Strategy Integral Care Procedures Quality and Patient Safety Policies Best Practices in Drug Prescription Guarantee of care in time StrategicGoals Quality and Patient Safety Patient‘s Health and demands Rigorous and efficient management Modernization of infrastructures StrategicCores are now in routine use.DOR”, PAIN FREE HOSPITAL is COMMENTARY Dr Ana Cristina Mangas Anesthesiology and Pain Unit Centro Hospitalar Leiria-Pombal, Portugal Although the CHANGE PAIN® initiative is a compa- ratively new introduction in Portugal we are already seeing benefits. The success of the “HOSPITAL SEM DOR” at Leiria is excellent role model for other other clinical facilities in Portugal. Raising the profile of CHANGE PAIN® through participation at mee- tings and congresses and increasing the available number of workshops and training modules will improve the understanding of pain treatment throughout our medical community. Dr Ana Cristina Mangas IMPLEMENTATION OF THE CHANGE PAIN® INITIATIVE IN SOUTHERN EUROPE EXPERIENCE IN PORTUGAL