Our opioid stewardship team is trying to determine the best way to meet the Joint Commission Pain Management Standard for identifying high risk patient's. We would like to flag patient's who are considered high risk for opioid related harm via Epic. Has anyone successfully implemented this at your institution. How are you meeting this standard and identifying high risk patients?
I have not been able to find a opioid risk tool which incorporates the following criteria and provides a score which can be used to flag patients who are considered high risk: -OSA
-COPD
-Obesity
-Age greater than 60
-Renal insufficiency
-Hepatitis or liver disease
-Impaired bowel motility
-Co administration of drug capable of inducing fatal interactions
-Traumatic brain injury
-History of intolerance or adverse effect with opioid
-Mental illness
Thank you,
Alissa Carter, Pharm.D., BCPS
Clinical Pharmacist Specialist
Opioid Stewardship Co-Chair
Methodist Richardson Medical Center
AlissaCarter@mhd.com