Implementation of a Quality Improvement Learning Collaborative to Support Implementation of the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain: Case Study from Nurse-Led Clinics.

Autor: Harless A; East Tennessee State University, College of Nursing, Johnson City, TN. Electronic address: harlessab123@outlook.com., Vanhook PM; East Tennessee State University, College of Nursing, Johnson City, TN., Shoemaker-Hunt S; Abt Associates, Cambridge, MA., Keane N; Abt Associates, Cambridge, MA., Childs E; Abt Associates, Cambridge, MA.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2024 Dec; Vol. 25 (6), pp. 638-644. Date of Electronic Publication: 2024 Sep 27.
DOI: 10.1016/j.pmn.2024.08.011
Abstrakt: Purpose: The authors describe a case study of a quality improvement initiative to implement the 2016 CDC Guideline for Prescribing Opioids for Chronic Pain 2 ("2016 CDC Guideline") into nurse-led primary care practices in central Appalachia.
Design: In this controlled pre-post quality improvement study, a policy change, an electronic health record form, and supporting education were implemented. Knowledge change and quality improvement metrics were measured before and after implementation.
Data Sources: The data comprised pre- and post-knowledge survey and quality improvement metrics from the electronic health record.
Results: After the implementation of the chronic pain intake form and supporting training and education, marked improvements in documentation and completion of the 2016 CDC Guideline and Tennessee Clinical Practice Guideline-concordant activities were observed, suggesting an increase in compliance with guidelines.
Conclusions: Quality improvement efforts that focus on opioid management best practices may be effective at enhancing 2016 CDC Guideline-concordant care in clinics, including nurse-led ones. Similar strategies could be trialed to ensure the 2022 CDC Clinical Practice Guideline recommendations for opioid and pain management are adopted effectively.
Practice Implications: Interventions to improve opioid and pain management through quality improvement efforts require policy changes, clinician and patient education, and electronic record tools.
Competing Interests: Declaration of competing interest For all authors, declarations of conflict of interest: none.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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