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Developing a framework for implementing opioid stewardship programmes in Australian hospital settings.

Champika Pattullo1,2, Benita Suckling1,2,3, Peter Donovan1

  • 1Clinical Pharmacology Department, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

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This study developed an opioid stewardship (OS) framework for Australian hospitals. The framework aims to improve patient safety and guide strategies for better opioid use.

Keywords:
frameworkopioidstewardship

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Area of Science:

  • Health Services Research
  • Patient Safety
  • Pharmacology

Background:

  • Growing interest in improving patient safety with prescription opioids.
  • Opioid stewardship (OS) is a key strategy for enhancing safe opioid use.
  • Need for a structured framework to guide OS implementation in acute care settings.

Purpose of the Study:

  • To develop a framework for implementing opioid stewardship in Australian acute hospitals.
  • To identify key elements for an effective OS framework through expert consensus.
  • To provide guidance for health services in prioritizing and planning OS strategies.

Main Methods:

  • Modified Delphi Technique employed with a diverse stakeholder panel.
  • Survey instrument developed from a literature review and refined through multiple rounds.
  • Consensus defined as at least 70% agreement on the importance of framework elements.

Main Results:

  • A framework for opioid stewardship in Australian acute hospitals was successfully developed.
  • 26 out of 27 items reached the 70% agreement threshold in the first round.
  • High levels of agreement (over 85%) were achieved for 24 items, with 8 items reaching 100% agreement.

Conclusions:

  • The developed framework provides a guide for Australian acute hospitals to implement opioid stewardship.
  • The framework can assist health services in prioritizing and planning strategies to optimize opioid use.
  • This consensus-driven approach ensures the relevance and applicability of the OS framework.