Goal-Directed Opioid Stewardship in Acute-on-Chronic Nonmalignant Pain Management
The Journal for Nurse Practitioners
; 18(6):649-652, 2022.
Article
in English
| ProQuest Central | ID: covidwho-1873216
ABSTRACT
Prescription opioids were identified as being responsible for 14,000 deaths in 2019, with 9.3 million people admitting to misuse in 2020. This quality improvement project implemented the Institute for Clinical Systems Improvement (ICSI) guideline on pain management in acute care to decrease opioid prescriptions >90 morphine milliequivalents for acute-on-chronic pain. The change to current practice included completion of comprehensive functional assessments and opioid risk screening tools to guide a goal-directed shared decision-making discussion with patients. There was a statistically significant decrease in morphine milliequivalents per prescription (t43 = 2.579, P = .013).
Medical Sciences--Nurses And Nursing; morphine milliequivalents (MME); opioid misuse; opioid stewardship; pain management; shared decision making; Quality management; Documentation; Opioids; Interdisciplinary aspects; Risk factors; Risk assessment; Evidence-based practice; Prescription drugs; Acute services; COVID-19; Narcotics; Screening; Electronic health records; Social workers; Decision making; Chronic pain; Morphine; Group decision making; Coronaviruses; Patient education; Management; United States--US; Arkansas
Full text:
Available
Collection:
Databases of international organizations
Database:
ProQuest Central
Language:
English
Journal:
The Journal for Nurse Practitioners
Year:
2022
Document Type:
Article
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