7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids

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The Physician-Patient Alliance for Health & Safety released for public comment “7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids”.

7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids

7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids

organizations’ appeals have resulted in few changes in the way patients receiving opioids are monitored.

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The Physician-Patient Alliance for Health & Safety released for public comment “7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids”.

A recent proposal sets forth a framework for monitoring patients receiving opioids. In their article, “Instituting Best Practice for Monitoring for Opioid-Induced Advancing Sedation in Hospitalized Patients”, Carla R. Jungquist, RN, PhD and her colleagues propose a seven-step framework “to translate evidence based guidelines and recommended best practices into an action-oriented stepwise process to recognize and systematically address the surveillance and prevention of opioid-induced unintended advancing sedation and respiratory depression adverse events in hospital settings.”

Highlighting growing concerns about about opioid-induced respiratory depression, The Joint Commission issued the Sentinel Event Alert #49, “Safe use of opioids in hospitals” that called for a safer health care environment for patients receiving opioids:

While opioid use is generally safe for most patients, opioid analgesics may be associated with adverse effects, the most serious effect being respiratory depression, which is generally preceded by sedation … Adverse events can occur with the use of any opioid; among these are fentanyl, hydrocodone, hydromorphone, methadone, morphine, oxycodone, and sufentanil.

Through recommendations and clinical practice guidelines, leading health and medical organizations have also called for safer health care for patients receiving opioids. These organizations include Anesthesia Patient Safety Foundation (APSF), American Society for Pain Management Nursing (ASPMN), Society for Ambulatory Anesthesia (SAMBA), American Society of Anesthesiologists (ASA), and Emergency Nurses Association (ENA).

However, these organizations’ appeals have resulted in few changes in the way patients receiving opioids are monitored.

To provide comment on “7 Steps for Better Health Care: A Framework for Monitoring Patients Receiving Opioids,” please go to http://www.ppahs.org/blog/.

About Physician-Patient Alliance for Health & Safety

Physician-Patient Alliance for Health & Safety is a non-profit 501(c)(3) whose mission is to promote safer clinical practices and standards for patients through collaboration among healthcare experts, professionals, scientific researchers, and others, in order to improve health care delivery. For more information, please go to http://www.ppahs.org

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