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Pharmacologic Pain Management Trends among Adults Hospitalized with Cellulitis: An Evidence-Based Practice Project
Teresa Rangel1, Sydney Pham2, Brenda Senger3
1Providence Health Care, Professional Development Department, Spokane, Washington.
Summary
Opioid stewardship initiatives successfully reduced opioid administration for acute cellulitis patients. Non-opioid analgesic use remained stable, highlighting opportunities for improved pain management strategies in hospitals.
Area of Science:
- Pain Management
- Pharmacology
- Healthcare Quality Improvement
Background:
- Nurses frequently administer opioids for acute pain conditions like cellulitis.
- Opioid stewardship aligns with practice guidelines recommending limited opioid use.
- Two hospitals implemented opioid stewardship committees to improve practices.
Purpose of the Study:
- To evaluate changes in inpatient opioid and non-opioid medication administration rates.
- To assess the impact of evidence-based opioid stewardship interventions.
Main Methods:
- Retrospective, observational study of 4,523 adult cellulitis encounters.
- Data extracted from electronic health records.
- Descriptive analysis and logistic regression to identify factors influencing opioid administration.
Main Results:
- Opioid administration decreased post-stewardship implementation.
- Non-opioid analgesic use remained consistent.
- Inpatient pain scores, pre-hospital opioid use, length of stay, and hospitalization year influenced opioid administration.
Conclusions:
- Opioid stewardship effectively reduced opioid use for acute cellulitis.
- Non-opioid analgesics maintained their usage levels.
- Collaboration between nurses and providers can further optimize inpatient analgesic administration.
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