Sentinel Alert on Opioids Spotlights Provider Misuse
The alert pointed out the importance of assessing patients for pain thresholds. However, "notwithstanding the need for appropriate pain management," hospital providers should make staff aware of factors and activities that can help avoid accidental opioid overuse, such as assessing patients previous history of analgesic use or abuse, duration and possible side effects.
The alert advises providers to "Take extra precautions with patients who are new to opioids or who are being restarted on opioids," such as starting patients on a short-term trial at the lowest effective dose.
Patients at higher risk include those who snore, those who undergo upper abdominal or thoracic surgery, are receiving other sedating drugs such as benzodiazepines, antihistamines, diphenhydramine, sedatives, or other central nervous system depressants.
Risks also increase for those who are morbidly obese and also have sleep apnea, who have not recently used opioids, those who are under anesthesia for longer periods of time and for those who smoke cigarettes.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Centralizing the Revenue Cycle Protects the Bottom Line
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- CA Fines 8 Hospitals for Medical Errors
- 3 Management Lessons from a Supermarket Debacle
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- Employers Weigh Risks, Benefits of Private Exchanges
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Revenue Cycles Get a Boost from Simple JPEG Files