2017
DOI: 10.1016/j.pmn.2017.03.006
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A Multisite Retrospective Study Evaluating the Implementation of the Pasero Opioid-Induced Sedation Scale (POSS) and Its Effect on Patient Safety Outcomes

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Cited by 12 publications
(18 citation statements)
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“…Despite the high utilization of the POSS in clinical practice, the empirical validation and reliability testing is still in its infancy. Both Kobelt et al (2014) and Davis et al (2017) found no significant indication that the use of the POSS influenced pain management with opioids, in terms of patients' pain levels or total opioid consumption. The use of the scales such as the VICS and the POSS were found to increase nurses' confidence and knowledge in providing safe and quality patient care; however, there is a lack of evidence suggesting pain management practices with opioids are influenced by this (de Lemos et al, 2000;Kobelt et al, 2014).…”
Section: Decisions Regarding Opioidsmentioning
confidence: 91%
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“…Despite the high utilization of the POSS in clinical practice, the empirical validation and reliability testing is still in its infancy. Both Kobelt et al (2014) and Davis et al (2017) found no significant indication that the use of the POSS influenced pain management with opioids, in terms of patients' pain levels or total opioid consumption. The use of the scales such as the VICS and the POSS were found to increase nurses' confidence and knowledge in providing safe and quality patient care; however, there is a lack of evidence suggesting pain management practices with opioids are influenced by this (de Lemos et al, 2000;Kobelt et al, 2014).…”
Section: Decisions Regarding Opioidsmentioning
confidence: 91%
“…Nine of the 17 studies used naloxone as a surrogate measure of frequency for oversedation, suggesting naloxone use as the marker within clinical practice that OISARD has occurred (Davis et al, 2017;Gordon & Pellino, 2005;Jungquist et al, 2016;Pawasaukas, Stevens, Youssef, & Kelley, 2014;Ramachandran et al, 2011;Rosenfeld et al, 2015;Taylor, Kirton, Staff, & Kozol, 2005;Weingarten et al, 2015;Yung, Lee, Hsu, Furnish, & Atayee, 2017). Clinically, the use of naloxone indicates that the patient's level of sedation is compromising the patient's breathing and risks further injury to the patient if it continues.…”
Section: Naloxone As a Surrogate Measurementioning
confidence: 99%
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“…The POSS provides guidance for clinical decision making with interventions or actions that can be taken by clinicians in response to concerning levels of sedation. Reliability and validity have been established for the POSS for use on general care units in monitoring patients receiving opioid analgesics (Bartoszek et al, 2017;Cooper, Stannard, & Noble, 2015;Davis et al, 2017;Kobelt et al, 2014;Nisbet & Mooney-Cotter, 2009;Quinlan-Colwell, Thear, Miller-Baldwin, & Smith, 2017;Savelloni et al, 2017). Validated and standardized sedation scales or measures should be incorporated in routine monitoring of patients receiving opioids to guide critical thinking skills and informed decisions about managing pain, sedation, and patient safety.…”
Section: Sedation Scalesmentioning
confidence: 99%
“…This assessment is used along with their critical thinking skills when deciding the safest therapy for pain management. Despite using validated scales, between 0.003 and–4.2% hospitalized patients will experience an opioid‐related adverse event (defined by naloxone exposure or an opioid‐related adverse drug event diagnosis code), including excessive sedation and respiratory depression . In the past 15 years, OIASRD has received increased attention from professional organizations, such as The Joint Commission, the Institute for Healthcare Improvement, and the Centers for Medicare and Medicaid Services; being identified as an important factor in the development of nursing knowledge specific to clinical decision making around pain…”
Section: Introductionmentioning
confidence: 99%