Research shows opioid misuse and abuse can begin with prescribed opioids following surgery, with 5% of patients continuing use long after the normal recovery period. Even when used as prescribed, opioids can cause serious adverse events, signaling the need for practicing evidence-based multimodal medicine.
The American Society of Anesthesiologists and Premier Inc. collaborated to conduct two national pilots to test a proof of concept for a team-based approach amongst providers, clinicians and patients/families, and an opioid-sparing approach for safer post-operative pain management. The pilots launched through Premier’s Hospital Improvement Innovation Network, funded by CMS, and focused on adult patients undergoing elective hip or knee arthroplasty or colectomy procedures.
The first pilot findings strongly suggest that transforming opioid prescribing practices in the acute care setting holds potential as an effective upstream strategy to curb opioid misuse and associated preventable adverse events. A second pilot launched with an expanded partnership of surgeon and patient/family engagement subject matter experts (SMEs), one-on-one performance improvement coaching sessions, increased number of participants and focus on the same surgical procedures.
SMEs provided education and best practices for participants to redesign their workflows with new practices and to execute action plans to drive safer post-operative pain management. This included appropriate opioid screening, prescribing, administering and monitoring practices, use of multimodal analgesia and alternatives to opioid therapy, partnering with patients/families on pain management expectations, safe opioid use, storage, disposal and post-discharge opioid misuse prevention strategies.
This session will elaborate on findings presented at the 2018 Summit and the second pilot’s promising preliminary findings.
Sponsor: American Society of Anesthesiologists