Patient Safety Topics
:
Opioids
Overview

There are many published studies and reported events that demonstrate potential gaps in the knowledge regarding the use of opioids. Assessment of knowledge in a healthcare facility, such as through the assessment tool included below, and analysis may be helpful in identifying knowledge gaps and in developing improvement strategies to reduce medication errors associated with opioid use.

Key Data and Statistics

‚ÄčAuthority analysts queried the PA-PSRS database for medication errors that included any opioid as the medication prescribed or administered. The query of reports submitted from January 2005 through December 2014 identified 41,727 events. Facilities reported 0.9 % (n = 365) of these events as Serious Events, with a downward trend following a peak in 2009 (Figure).

Figure. Reports of Serious Events Involving Opioids Reported to the Pennsylvania Patient Safety Authority, January 2005 through December 2014 (N = 365)

Reports of Serious Events Involving Opioids Reported to the Pennsylvania Patient Safety Authority 

Educational Tools

HAP PA-HEN ADE Measures Worksheet
This worksheet may be adapted, and measures may be added as needed per facility policy and procedure.

Opioid Knowledge Self-Assessment
This assessment addresses selection, dosing, and patient monitoring when using opioid products.

Organization Assessment of Safe Opioid Practices
Healthcare facilities can use this sample tool to assess the safety of facility opioid practices and identify opportunities for improvement.

Multimedia
Safety Tips for Patients

 

 

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