ISQIC Opioid Education Modules for Physicians, Nurses, and Pharmacists
The ISQIC opioid education modules are a helpful resource for physicians, nurses, pharmacists, and others involved in surgical perioperative care. These interactive modules provide the user with information as well as scenarios and activities to test their knowledge of the opioid crisis, effective pain management, patient expectation setting, and safe use and disposal. Follow the link below to take the next step in helping your patients better manage their pain and helping our community by reducing our reliance on opioids.
- Reducing Postoperative Opioid Prescribing
- Michigan Opioid Prescribing Engagement Network
- CMS Resources to reduce opioid misuse for payers, health care providers, states and partners
- Treatment for Acute Pain: An Evidence Map
- Safer Use of Opioid Pain Medication
- Sung et al. Nonmedical use of prescription opioids among teenagers in the United States: Trends and correlates. Journal of Adolescent Health. 2005. Vol 37(1): 44-51.
- SAMHDA. National Survey on Drug Use and Health, 2017
- Final Report Resources Toolkit
- Centers for Disease Control and Prevention Publication about safe opioid prescribing
- Food and Drug Administration safety announcement about gradual, individualized tapering
- U.S Department of Health and Human Services Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
- HHS 5-Point Strategy to Combat the Opioid Crisis
- SUPPORT for Patients and Communities Act
- President’s Commission on Combating Drug Addiction and the Opioid Crisis
- President’s Commission on Combating Drug Addiction and the Opioid Crisis: One Year Later
- CY2020 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS-1717-P)
- ISQIC Prescribing Recommendations
- ISQIC Opioid Reduction Initiatives – Resources and Literature
- CDC Prescribing Practices Data
- National Prescription Drug Take Back Day
- Wide Variation and Overprescription of Opioids After Elective Surgery
Across 25 procedures and 3 academic medical centers, researchers found that nearly all patients undergoing elective surgery were overprescribed opioids at discharge. More than 80% of the opioid-naïve patients received more than 7 days of opioids. Significant prescription variation existed across and within procedures that was not explained by patient factors.
- Results of a Prospective, Multicenter Initiative Aimed at Developing Opioid-prescribing Guidelines After Surgery
Results from a multicenter survey of patients undergoing 25 procedures showed that while 91% of patients received opioids at discharge, 77% of patients had leftover opioids, and 62% of opioids prescribed went unused. Nearly one-third of patients reported using no opioids following discharge. The study concluded that a one-size fits all maximum for post discharge opioid prescription for the treatment of acute pain is likely not in the patients’ best interest.
- The 2018 Chitranjan S. Ranawat, MD Award: Developing and Implementing a Novel Institutional Guideline Strategy Reduced Postoperative Opioid Prescribing After TKA and THA
The implementation of opioid-prescribing procedure-specific guidelines demonstrated a near 50% decrease in median opioid prescription quantity and significantly tighter opioid prescription ranges without an increase in refill rate. These guidelines were disseminated to all members of the care team and clearly communicated to patients at the preoperative visit and during hospitalization. The study demonstrated that guideline implementation was the most impactful factor by a wide margin on prescription reduction and consistence without a concomitant increase in refill rate. Link to Supplement.
- Report on Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations
The Comprehensive Addiction and Recovery Act of 2016 (CARA) required the Pain Management Best Practices Inter-Agency Task Force to develop the Report on Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations, which identified gaps or inconsistencies, and proposed updates to best practices and recommendations for pain management, including chronic and acute pain. To read the report, click here.