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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 11/2021

01-11-2021 | Opioids | Concise Research Report

Impact of a Novel Hospital-Based Opioid Stewardship Program on Nonsurgical Acute Pain Management in the Hospital

Authors: Alexis Vien, MD, Grace Shyh, PharmD, Deanna Jannat-Khah, DrPH, MSPH, Stephanie Chen, MD, Xiao Kuang, RN, Linda M. Gerber, PHD, Jennifer I. Lee, MD

Published in: Journal of General Internal Medicine | Issue 11/2021

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Excerpt

The opioid epidemic has resulted in efforts to prevent opioid-related harms by improving opioid prescribing practices. Many patients are prescribed opioids for the first time in the hospital and over half of nonsurgical inpatients receive opioids for pain during their hospital stay.1,2 The dose and duration of initial opioid prescriptions has been shown to increase immediate and long-term opioid-related harms; therefore, inpatient prescribers have a crucial role in mitigating opioid-related risks for patients with pain.3,4 …
Literature
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Herzig SJ, Rothberg MB, Cheung M, Ngo LH, Marcantonio ER. Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals. J Hosp Med. 2014;9(2):73–81.CrossRef
2.
Calcaterra SL, Yamashita TE, Min S-J, Keniston A, Frank JW, Binswanger IA. Opioid prescribing at hospital discharge contributes to chronic opioid use. J Gen Intern Med. 2016;31(5):478–485.CrossRef
3.
Deyo RA, Hallvik SE, Hildebran C, Marino M, Dexter E, Irvine JM, O’Kane N, Van Otterloo J, Wright DA, Leichtling G, Millet LM. Association Between Initial Opioid Prescribing Patterns and Subsequent Long-Term Use Among Opioid-Naïve Patients: A Statewide Retrospective Cohort Study. J Gen Intern Med. 2017;32(1):21–27.CrossRef
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Hadlandsmyth K, Lund BC, Mosher HJ. Associations between initial opioid exposure and the likelihood for long-term use. J Am Pharm Assoc. 2019;59(1):17–22.CrossRef
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Herzig SJ, Calcaterra SL, Mosher HJ, Ronan MV, Groningen NV, Shek L, Loffredo A, Keller M, Jena AB, Nuckols TK. Safe opioid prescribing for acute noncancer pain in hospitalized adults: A systematic review of existing guidelines. J Hosp Med. 2018;13(4):256–262.CrossRef
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Dellit TH, Owens RC, McGowan JE, Gerding DN, Weinstein RA, Burke JP, Huskins WC, Paterson DL, Fishman NO, Carpenter CF, Brennan PJ, Billeter M, Hooton TM, Infectious Diseases Society of America, Society for Healthcare Epidemiology of America. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007;44(2):159–177.CrossRef
Metadata
Title
Impact of a Novel Hospital-Based Opioid Stewardship Program on Nonsurgical Acute Pain Management in the Hospital
Authors
Alexis Vien, MD
Grace Shyh, PharmD
Deanna Jannat-Khah, DrPH, MSPH
Stephanie Chen, MD
Xiao Kuang, RN
Linda M. Gerber, PHD
Jennifer I. Lee, MD
Publication date
01-11-2021
Publisher
Springer International Publishing
Keywords
Opioids
Opioids
Published in
Journal of General Internal Medicine / Issue 11/2021
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-020-06404-x

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