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Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event collaboration
Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event collaboration
There are many published studies and reported events that demonstrate potential gaps in the knowledge regarding the use of opioids. As a part of the Pennsylvania Hospital Engagement Network adverse drug event collaboration sponsored by the Centers for Medicare and Medicaid Services, an 11-question opioid knowledge assessment tool for participating hospitals was developed to assess their practitioners' current knowledge about the use of opioids. The questions covered a variety of issues associated with the use of opioids, including differences between opioid-naive and opioid-tolerant patients, indications for long-acting opioids, and patient-specific conditions that require a lower starting dose of opioids. More than 1,700 individual practitioners completed the assessment. The lowest-scoring questions encompassed topics identifying the predictors of respiratory depression in patients receiving intravenous opioids, defining what constitutes an opioid-tolerant patient, and choosing medications that could potentiate the effects of an opioid with respect to a patient's ventilation. Strategies that organizations may consider include assessing the organization's need for training based on the analysis of reported adverse events, near misses, outcome measures, staff observations, and knowledge assessments. This type of analysis may be helpful in identifying knowledge gaps and in developing improvement strategies to reduce medication errors associated with opioid use.
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