Audit of opioid prescribing: the effect of hospital guidelines

Humphries, Claire; Counsell, David; Pediani, Ramon; Close, Sandra

doi:10.1111/j.1365-2044.1997.165-az0173.x

Cited by 20 publications

(27 citation statements)

References 10 publications

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“…Audits that have examined opioid prescribing have, in some way, helped improve pain management and resulted in treatment algorithms. However some of these were based on information now thought to be outdated such as weight based dosing (2, 3) and traditional dosing intervals based on the half‐life of the drug (2). Other audits have used the World Health Organization (WHO) analgesic ladder guidelines and have been specific in scope.…”

Section: Introductionmentioning

confidence: 99%

Opioid prescribing: an assessment using quality statements

et al. 2005

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Section: Introductionmentioning

confidence: 99%

Opioid prescribing: an assessment using quality statements

et al. 2005

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“…Fifteen interventions involved surgical inpatients, 3 were implemented in the intensive care unit, 7 were conducted in the ED, 5 involved geriatric inpatients (≥65 years), and the remaining 7 studies were conducted in all inpatients, and those receiving patient‐controlled analgesia (PCA) or transdermal fentanyl …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of interventions on the appropriate use of opioids for noncancer pain among hospital inpatients: A systematic review

Liu

Gnjidic

Nguyen

et al. 2020

Brit J Clinical Pharma

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Aims To summarise the effectiveness of interventions on appropriate opioid use for noncancer pain among hospital inpatients. Methods Two reviewers independently searched 6 databases up to March 2018 original research articles reporting on quantitative outcomes of interventions on appropriate opioid use among hospital inpatients. Appropriate opioid use was measured by changes in prescribing, such as the lowest effective opioid dose and duration, or clinical outcomes such as adequate pain control. Quality and intervention complexity assessments were performed by 2 independent reviewers. The full methodological approach was published on PROSPERO (ID: CRD42019145947). Results Of 398 full‐text articles assessed for eligibility, 37 articles were included in the review. Most articles had a moderate or high risk of bias (27 of 37 studies). Thirty‐one articles primarily addressed appropriate opioid use and 6 articles targeted opioid safety as a secondary outcome. A multifaceted approach was the most common primary intervention (16 studies) and adequate pain control was the main outcome measured (14 studies). Health provider education, reinforced by hard‐copy material and feedback, was associated with a 13.0 to 29.5% increase in the proportion of opioid prescriptions written in concordance with local guidelines and reduced pain scores ranging from 7.0 to 34.5%. Interventions to improve opioid safety in patient‐controlled analgesia reduced medication errors by up to 89.1%. Conclusion Interventions involving academic detailing and education, especially when reinforced by feedback, show positive effects on appropriate opioid use among hospital inpatients. Future studies investigating the impact of administrative interventions on opioid use and related outcomes are warranted.

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“…Originally, it was intended that the prescribing patterns of ward doctors would be evaluated by auditing prescription charts before and after the four educational sessions. The auditing of prescriptions has been undertaken in other studies as a method of assessing change in practice (Humphries et al . 1997).…”

Section: Methodsmentioning

confidence: 99%

Improving pain management through interprofessional education: evaluation of a pilot project

Carr

Brockbank

Barrett

2003

Learn Health Soc Care

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A collaborative project between a district hospital and a local university resulted in a senior lecturer being seconded 2 days per week to facilitate the continued improvement in pain management. The rationale for this collaboration was to explore the utilization of innovative teaching methods to deliver education in practice and to develop further research in relation to pain management. An interprofessional pain steering group (IPSG) was established with representation from several services (acute pain, chronic pain, palliative care, physiotherapy, etc.). This group identified several objectives, one of which related to the improvement of pain management through interprofessional education based on the findings from previous audit work. This paper reports on the provision of interprofessional education in pain management and on the evaluation of the impact of this on patient outcomes and practitioner learning. The successes and challenges of this endeavour are discussed.

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Audit of opioid prescribing: the effect of hospital guidelines

Cited by 20 publications

References 10 publications

Opioid prescribing: an assessment using quality statements

Opioid prescribing: an assessment using quality statements

Effectiveness of interventions on the appropriate use of opioids for noncancer pain among hospital inpatients: A systematic review

Improving pain management through interprofessional education: evaluation of a pilot project

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