A Quality Improvement Initiative Addressing Safe Opioid Prescribing and Disposal Postcesarean Delivery

Loomis, Elizabeth; McNaughton, Diane B.; Genord, Cheryl

doi:10.1016/j.pmn.2021.02.002

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…The American College of Obstetrics and Gynecology‘s most recent stepwise multimodal approach involves beginning treatment with acetaminophen and/or non-steroidal anti-inflammatory drugs (NSAIDs) and then escalating to opioids for breakthrough pain [ 10 , 13 ] and educating women about their own and their breastfed infant’s central nervous system risks regardless of the type of opioid prescribed [ 14 ]. The stepwise multimodal pain management approach has been associated with reduced opioid consumption [ 15 ] without an increase in reported pain or length of hospital stay [ 16 ]. Furthermore, reducing the amount of prescribed opioids may prevent the diversion of medications to others as leftover pills are often improperly stored with easy access to others.…”

Section: Introductionmentioning

confidence: 99%

Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal

Seybold,

Simmons,

Taylor

et al. 2023

Cureus

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Objective The aim of this study was to describe various aspects related to opioid use and storage in the setting of at-home pain management after cesarean deliveries among an Appalachian population. Methods Women who underwent cesarean delivery (January-June 2019) at an Appalachian institution were prospectively enrolled and administered a telephone survey seven (± 3) days post-discharge. Results Of the 87 women enrolled, 40 (46%) completed the survey; 92.5% were prescribed an opioid medication, most commonly oxycodone/acetaminophen 5/325 mg. A Kruskal-Wallis H test revealed a significant association between the severity of pain that interfered with normal daily activities and the number of pills consumed [χ2(2)=6.75, p=0.034]. More than 70% of the participants (28/40) had not safely stored or disposed of their unused opioid medications. Conclusion Our findings highlight the need for interventions to educate patients on how to appropriately use, store, and dispose of unused opioids.

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Section: Introductionmentioning

confidence: 99%

Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal

Seybold,

Simmons,

Taylor

et al. 2023

Cureus

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Piloting an opioid callback program in community pharmacies

Hernandez,

Gilson,

Gassman

et al. 2023

Journal of the American Pharmacists Association

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Implementability of opioid deprescribing interventions at transitions of care: A scoping review

Wang,

Schneider,

Langford

et al. 2024

Brit J Clinical Pharma

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Continuation of opioids at transitions of care increases the risk of long‐term opioid use and related harm. To our knowledge, no study has examined the implementability of opioid deprescribing interventions at transitions of care. Our scoping review aimed to identify the type of opioid deprescribing interventions employed at transitions of care and assess the implementability of tested interventions. Nine electronic databases were searched on 15 May 2023 for English‐language studies of adults transitioning between care settings, where opioid deprescribing interventions targeting patients, clinicians or health systems were implemented. Implementability was assessed using the Cochrane Intervention Complexity Assessment Tool for Systematic Reviews to determine intervention complexity, and mapped to the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE‐AIM) framework to understand the process evaluation. A total of 79 studies were identified, with 94.0% (n = 74) examining hospital‐to‐home transitions. Mixed interventions (combination of pharmacological and nonpharmacological) were tested in 49.0% (n = 39) of studies. Pharmacological interventions were identified in 31.0% (n = 24) of studies, and the remaining 20.0% (n = 16) applied nonpharmacological interventions. Mixed interventions comprising multiple components were the most complex and resulted in reduced opioid use across transitions of care in 28.0% (n = 22) of studies. Few studies reported on RE‐AIM dimensions including implementation (5.0% of studies), reach (4.0%), adoption (4.0%) and maintenance (0%). Most opioid deprescribing interventions targeted hospital to home care transition with mixed results in opioid deprescribing. Further research should consider the implementability of interventions during transitions of care to elucidate the impact of opioid deprescribing interventions across care settings.

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A Quality Improvement Initiative Addressing Safe Opioid Prescribing and Disposal Postcesarean Delivery

Cited by 5 publications

References 7 publications

Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal

Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal

Piloting an opioid callback program in community pharmacies

Implementability of opioid deprescribing interventions at transitions of care: A scoping review

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