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Shugarman LR, Goebel JR, Lanto A, Asch SM, Sherbourne CD, Lee ML, Rubenstein LV, Wen L, Meredith L, Lorenz KA. Nursing staff, patient, and environmental factors associated with accurate pain assessment. Journal of pain and symptom management. 2010 Nov 1; 40(5):723-33.
Despite a long-standing mandate, pain-screening implementation falls short, and informal screening is common.