| Autor: |
Weil, Anna, Vijeratnam, Shan Shan, Potter, Valerie, Teli, Jaymi, Feuer, David |
| Zdroj: |
Supportive & Palliative Care; 20230101, Vol. 13 Issue: 0 pe1379-e1382, 4p |
| Abstrakt: |
ObjectivesUnsafe opioid prescribing can lead to significant patient harm and improving standards is a national priority. This report summarises a three-stage process relating to opioid prescribing, which has led to a sustained improvement.MethodsOpioid prescriptions were reviewed retrospectively over a 4-year period in a tertiary cancer centre. The first audit cycle took place in 2017. When repeated in February 2020 following an opioid education programme implementation, prescribing remained poor. In September 2020, a quality improvement project (QIP) was developed with several interventions including opioid prescribing guidelines.ResultsThe first audit demonstrated that 76% met safe prescribing and 68% best practice. The second audit showed a deterioration in prescribing, 61% met safe prescribing and 39% best practice despite the implementation of an education programme. The QIP has led to an improvement in prescribing, at 4 months, 87% met safe prescribing and 56% best practice.ConclusionsDespite implementation of a medical education initiative, a marked deterioration in safe opioid prescribing occurred. A shift towards QI methodology led to a successful pilot of focused interventions and resulted in improved standards of safe prescribing. |
| Databáze: |
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