Opioid Prescribing and Process Improvement Project: A Quality Improvement Initiative

被引：1

作者：

Carnago, Lisa R. ^{[1
,2
]}

O'Regan, Amy ^{[3
]}

Poley, Stephanie ^{[4
]}

Sheffield, Colin ^{[5
]}

Hughes, Jaime M. ^{[6
]}

Knisely, Mitchell R. ^{[7
]}

机构：

[1] Duke Univ, Sch Med, Dept Rheumatol, Durham, NC 27708 USA

[2] Duke Univ, Sch Nursing, Durham, NC 27708 USA

[3] Duke Univ, Sch Med, Dept Populat Hlth Sci, Durham, NC USA

[4] Duke Sch Med, Duke Clin Res Inst, Durham, NC USA

[5] Duke Univ, Sch Med, Dept Rheumatol, Durham, NC USA

[6] Wake Forest Univ, Sch Med, Dept Implementat Sci, Winston Salem, NC USA

[7] Duke Univ, Sch Nursing, Durham, NC USA

来源：

JNP- THE JOURNAL FOR NURSE PRACTITIONERS | 2023年 / 19卷 / 08期

关键词：

chronic pain; opioid safety; pain agreements; quality improvement; urine drug screens; PAIN;

D O I：

10.1016/j.nurpra.2023.104713

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Urine drug screens (UDS) and pain agreements (PAs) are important risk mitigation strategies for people on long-term opioid therapy (LTOT). This project sought to increase the use of UDS and PAs when LTOT is prescribed in outpatient settings. This quality improvement project used strategies (clinical guidelines, ed-ucation, support, and feedback) aimed at clinicians in 1 primary care and 2 specialty clinics. Clinicians increased the use of UDS and PAs. There was minimal change in the number of patients on LTOT. Multi -pronged strategies can help clinicians improve awareness and use of risk mitigation strategies when pre-scribing LTOT.(c) 2023 Elsevier Inc. All rights reserved.

引用

页数：6

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