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
收藏
页数：6
相关论文
共 50 条
  • [31] Using cost of software quality for a process improvement initiative
    Demirörs, O
    Yildiz, Ö
    Güceglioglu, AS
    [J]. PROCEEDINGS OF THE 26TH EUROMICRO CONFERENCE, VOLS I AND II, 2000, : A286 - A291
  • [32] Adherence to Opioid Prescribing Guidelines in a Statewide Surgical Quality Improvement Collaborative
    Reiter, Audra J.
    Huang, Reiping
    Iroz, Cassandra B.
    Slocum, John D.
    D'Orazio, Brianna M.
    Johnson, Julie K.
    Stulberg, Jonah J.
    [J]. JOURNAL OF SURGICAL RESEARCH, 2024, 293 : 274 - 280
  • [33] A New Quality Improvement Toolkit to Improve Opioid Prescribing in Primary Care
    van Eeghen, Constance
    Kennedy, Amanda G.
    Pasanen, Mark E.
    MacLean, Charles D.
    [J]. JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2020, 33 (01) : 17 - 26
  • [34] Reducing postoperative opioid pill prescribing via a quality improvement approach
    Stensland, Kristian
    Chang, Peter
    Jiang, David
    Canes, David
    Berkenwald, Aaron
    Waisman, Adrian
    Robinson, Kortney
    Brat, Gabriel
    Crociani, Catrina
    Mcanally, Kyle
    Hyde, Sarah
    Holliday, Brian
    Mechaber, Jodi
    Baraka, Analesa
    Moinzadeh, Alireza
    Wagner, Andrew
    [J]. INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2023, 35 (01) : J10 - J10
  • [35] Reducing postoperative opioid pill prescribing via a quality improvement approach
    Stensland, Kristian D.
    Chang, Peter
    Jiang, David
    Canes, David
    Berkenwald, Aaron
    Waisman, Adrian
    Robinson, Kortney
    Brat, Gabriel
    Crociani, Catrina
    Mcanally, Kyle
    Hyde, Sarah
    Holliday, Brian
    Mechaber, Jodi
    Baraka, Analesa
    Moinzadeh, Alireza
    Wagner, Andrew A.
    [J]. INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2021, 33 (03)
  • [36] Adherence to Opioid Prescribing Guidelines in a Statewide Surgical Quality Improvement Collaborative
    Reiter, Audra
    Huang, Reiping
    Iroz, Cassandra
    Slocum, John D.
    Johnson, Julie K.
    Stulberg, Jonah
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2023, 236 (05) : S56 - S56
  • [37] A process improvement project - Achieving quality outcomes
    Buckley, T
    Burns, SM
    Bleck, T
    [J]. JOURNAL OF NURSING ADMINISTRATION, 2005, 35 (02): : 94 - 100
  • [38] Feasibility of Implementing a Standard Operating Protocol for Safe Opioid Prescribing in Outpatient Palliative Care: A Quality Improvement Project
    Bauer, Margaret R.
    Shamas, Tracy L.
    Gillespie-Heyman, Sarah
    Adelman, Samuel
    Ruskin, Andrea
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2021, 61 (03) : 652 - 652
  • [39] A Quality Improvement Project Is Associated With Increased Prescribing of Laxatives With Opioid Analgesics to Patients Discharged From the Emergency Department
    Lorenzen, B.
    Young, R.
    Arshad, J.
    Choy, K.
    D'Avanzo, J.
    Gerondale, J.
    Kempton, E.
    Klapthor, B.
    Hauck, T.
    Silver, M.
    [J]. ANNALS OF EMERGENCY MEDICINE, 2023, 82 (04) : S123 - S123
  • [40] Successful Opioid Minimization Following Kidney Transplant: A Quality Improvement Initiative
    Bova, Sarah
    Samet, Ron E.
    Deering, Jacob
    Gaines, Susanne
    Weinrub, Abby
    Bhati, Chandra
    Niederhaus, Silke
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (01)
12345