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Improving IV Insulin Administration in a Community Hospital
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Improving opioid stewardship programs through shared decision-making.

Kathy Xu, Seonaid Nolan, Tamara Mihic

    Journal of the American Pharmacists Association : Japha
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    Summary
    This summary is machine-generated.

    Opioid stewardship programs reduce inappropriate opioid prescribing in hospitals. Integrating shared decision-making, particularly with pharmacists, is key to managing acute pain effectively and improving patient safety.

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    Area of Science:

    • Healthcare Systems
    • Pharmacology
    • Patient Safety

    Background:

    • Opioid stewardship programs are emerging as a systems-level strategy to combat inappropriate opioid prescriptions.
    • These programs aim to enhance patient safety within acute care settings.
    • They are modeled after successful antimicrobial stewardship programs but face unique challenges due to the subjective nature of pain management.

    Purpose of the Study:

    • To describe the essential attributes of opioid stewardship.
    • To emphasize the importance of shared decision-making in opioid stewardship.
    • To highlight the crucial role of pharmacists in managing acute pain through shared decision-making.

    Main Methods:

    • Review and synthesis of existing literature on opioid stewardship.
    • Analysis of the distinctions between opioid and antimicrobial stewardship.
    • Exploration of the role of shared decision-making in acute pain management.

    Main Results:

    • Opioid stewardship requires a nuanced approach due to the subjective nature of acute pain.
    • Shared decision-making is a critical component for successful opioid stewardship.
    • Pharmacists are integral to implementing shared decision-making in pain management.

    Conclusions:

    • Opioid stewardship is an innovative approach to improve opioid prescribing and patient safety.
    • Shared decision-making, with active pharmacist involvement, is vital for effective opioid stewardship.
    • Integrating these elements enhances the management of acute pain in healthcare settings.