ISMP Best Practice 15: Opioid Stewardship

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org. 

4 posts / 0 new
Log in or register to post comments
Last post
Sat, 08/15/2020 - 14:19
#1
Joel W Daniel
Joel W Daniel's picture
Offline
Last seen: 6 hours 49 min ago
Joined: 01/25/2018 - 09:33
ISMP Best Practice 15: Opioid Stewardship

With ISMP's survey results about the implementation for the newest two best practices for hospitals, it is brutally apparent that many of us have a long way to go with opioid stewardship. Specifically with identification of opioid-tolerant vs. opioid-naive patients prior to verification of extended released opoioids. Only 15% being fully implemented.

If you have either partially or fully implemented the classification AND documentation in the EMR prior to verification of an order for an extended release opioid (including fentaNYL patches), please help on the following points:
1. Do you consider your hospital/system partially or fully compliant?
2. Do you rely on an electronic tool within this definition? If so, what EMR do you use?
3. What is the workflow for identification and documenting?
4. Since there are a few definitions of opioid-tolerance, which one does your system use? Does this have downstream consequences with regards to clinical workflow?

Thank you in advance for your comments.

Tags: 

Top