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Related Experiment Videos

Opioid prescribing: an assessment using quality statements.

B G Jenkins1, P H R Tuffin, C L Choo

  • 1Pharmacy Department, Royal Perth Hospital, Western Australia. barry.jenkins@health.wa.gov.au

Journal of Clinical Pharmacy and Therapeutics
|December 13, 2005
PubMed
Summary
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Opioid prescribing in a teaching hospital was suboptimal, with frequent poly-prescribing and inappropriate dosing intervals. This audit highlights critical areas for improving pain management and patient safety in hospital settings.

Area of Science:

  • Medical Sciences
  • Clinical Pharmacy
  • Pain Management

Background:

  • Opioid medications are essential for managing moderate to severe pain.
  • Suboptimal opioid prescribing can lead to adverse events, including respiratory depression and addiction.
  • Effective pain management requires careful consideration of opioid selection, dosing, and administration.

Purpose of the Study:

  • To audit opioid prescribing practices across all specialties in a large teaching hospital.
  • To identify specific areas for improvement in opioid medication management.
  • To establish a baseline for future quality improvement initiatives in opioid therapy.

Main Methods:

  • A comprehensive audit of opioid medications prescribed during patient admissions.

Related Experiment Videos

  • Assessment of recorded opioid prescriptions against established quality statements.
  • Review of 334 patient admissions across various hospital specialties.

    • Main Results:

    • Opioids were prescribed for 62.6% of patients (209 out of 334).
    • Poly-prescribing of 'when required' (p.r.n.) opioids was common, affecting 51.2% of patients.
    • Inappropriate dosing intervals (too long) were noted in 69.8% of patients, increasing breakthrough pain risk.
    • Suboptimal administration routes (intramuscular) and route variety were observed in 47.8% and 23.4% of prescriptions, respectively.

    Conclusions:

    • Despite stringent assessment criteria, opioid prescribing was found to be suboptimal.
    • Frequent poly-prescribing and inappropriate dosing/administration present significant risks to patient safety.
    • The findings underscore the need for targeted quality improvement interventions to optimize opioid prescribing and enhance patient care.