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A systematic compilation of reports published on opioid-related problems
1Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Journal of Opioid Management
|March 26, 2011
Summary
This review of opioid problems highlights common errors like fentanyl misuse and programming mistakes. Compiling these case reports aims to increase awareness and prevent future patient harm.
Area of Science:
- Medical safety
- Pharmacology
- Patient care
Background:
- Opioid-related problems are a significant concern in healthcare.
- Published case reports offer valuable insights into these adverse events.
Purpose of the Study:
- To compile a compendium of opioid-related problems from published literature.
- To enhance awareness and reduce the incidence of opioid-related harm.
Main Methods:
- Searched PubMed, Ovid, and CINAHL for case reports on opioid problems.
- Defined an opioid problem as unintended administration resulting in harm.
- Included 104 articles meeting inclusion criteria from over 2200 unique articles.
Main Results:
- Fentanyl was the most frequently implicated opioid.
- Identified issues include pump programming errors, transdermal patch misuse, and pediatric overdosing.
- 19 reports involved cancer patients, while 86 involved non-cancer patients.
Conclusions:
- The developed compendium can foster discussion on reducing opioid-related morbidity.
- Increased awareness of these problems may lead to improved patient safety.
- Further research and discussion are needed to mitigate opioid-related risks.
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