Hospital Pharmacy - July/August 2019 - 272
272
Hospital Pharmacy 54(4)
Figure 3. Pharmacist interventions over 3 months for pain medication co-management pilot project in 2013.
Note. IV = intravenous; PO = oral; PTA = prior-to-admission; NSAIDS = nonsteroidal anti-inflammatory drugs.
educating the patient on safe opioid use, and communicating
the discharge plan with the outpatient provider.14,15 TJC
recently revised pain assessment and management standards
for hospitals to include safe opioid prescribing as an organizational priority starting in 2018.16
At Fairview Health Services, support has been growing to
include pharmacists as members of interdisciplinary teams to
address complex medication management. The inpatient
pain management specialist role for pharmacists has evolved
over several years at UMMC for collaborative activities with
anesthesia services on the acute pain team. Pain team pharmacists recommend preoperative medication therapy plans,
provide inpatient pain management consults, and develop
pain medication discharge transition plans.
As the opioid stewardship model progresses down the
long road, emphasis will need to be placed on activities to
improve disparities that exist for patients diagnosed with
opioid substance use disorder. Opioid stewardship for this
group of patients requires collaboration with other services
including psychiatry, chemical dependency, and social
work. The expansion of opioid stewardship should address
the care transition of patients on methadone or buprenorphine for medication-assisted treatment (MAT). As an
example, pharmacists can help bridge communication gaps
at discharge through patient education and documentation
of the monitoring plan with the clinic medication therapy
management pharmacist. Exploring new opportunities for
MAT should be part of the continuous process improvement
for opioid stewardship.
Institutionalize New Approaches
Leadership has an important role in embedding the opioid
stewardship model as a conventional norm in the patient
safety culture throughout the organization. To accomplish
this, frequent communication from organization leaders is
needed on how the new changes have improved performance. Tracking performance metrics on processes that have
the greatest impact on the organization is fundamental to opioid stewardship. In a Lean hospital environment, the processes include safety, quality, delivery, cost, and morale
components of satisfaction with both patients and health care
providers.7
The balanced scorecard is a tool that focuses on performance measures for strategy and vision to provide leaders
with a fast, comprehensive view of the organization.
Compliance goals are displayed on the scorecard for the
behaviors and actions in a format that uses easy-to-read
charts or graphs. The measures are designed to pull people
toward the overall vision.17
Hospital Pharmacy - July/August 2019
Table of Contents for the Digital Edition of Hospital Pharmacy - July/August 2019
TOC/Verso
Utilization of an Order Panel to Encourage Safe Ordering and Administration of Amphotericin B
Implementing Smart Pumps to Enhance Patient Safety
Characterization of oral anticoagulant use among extremely elderly patients hospitalized at a tertiary academic medical center
Formulary Drug Review: Sufentanil Sublingual
New Medications in the Treatment of Acute Migraine
Implementation, Evolution, and Impact of ICU Telepharmacy Services Across a Health Care System
ISMP Adverse Drug Reactions
Development of a Coprecepting Model for a Preceptor-in-Training Program for New Practitioners
Facilitators and Barriers to Antibiotic Stewardship: A Qualitative Study of Pharmacists’ Perspectives
Development and Implementation of a Standardized Sterile Compounding Training Program
Transformation of Hospital Pharmacist Opioid Stewardship
Hospital Pharmacy - July/August 2019 - Cover1
Hospital Pharmacy - July/August 2019 - Cover2
Hospital Pharmacy - July/August 2019 - 209
Hospital Pharmacy - July/August 2019 - TOC/Verso
Hospital Pharmacy - July/August 2019 - 211
Hospital Pharmacy - July/August 2019 - Utilization of an Order Panel to Encourage Safe Ordering and Administration of Amphotericin B
Hospital Pharmacy - July/August 2019 - 213
Hospital Pharmacy - July/August 2019 - 214
Hospital Pharmacy - July/August 2019 - 215
Hospital Pharmacy - July/August 2019 - 216
Hospital Pharmacy - July/August 2019 - Implementing Smart Pumps to Enhance Patient Safety
Hospital Pharmacy - July/August 2019 - 218
Hospital Pharmacy - July/August 2019 - 219
Hospital Pharmacy - July/August 2019 - Characterization of oral anticoagulant use among extremely elderly patients hospitalized at a tertiary academic medical center
Hospital Pharmacy - July/August 2019 - 221
Hospital Pharmacy - July/August 2019 - Formulary Drug Review: Sufentanil Sublingual
Hospital Pharmacy - July/August 2019 - 223
Hospital Pharmacy - July/August 2019 - 224
Hospital Pharmacy - July/August 2019 - 225
Hospital Pharmacy - July/August 2019 - 226
Hospital Pharmacy - July/August 2019 - 227
Hospital Pharmacy - July/August 2019 - 228
Hospital Pharmacy - July/August 2019 - New Medications in the Treatment of Acute Migraine
Hospital Pharmacy - July/August 2019 - 230
Hospital Pharmacy - July/August 2019 - 231
Hospital Pharmacy - July/August 2019 - Implementation, Evolution, and Impact of ICU Telepharmacy Services Across a Health Care System
Hospital Pharmacy - July/August 2019 - 233
Hospital Pharmacy - July/August 2019 - 234
Hospital Pharmacy - July/August 2019 - 235
Hospital Pharmacy - July/August 2019 - 236
Hospital Pharmacy - July/August 2019 - 237
Hospital Pharmacy - July/August 2019 - 238
Hospital Pharmacy - July/August 2019 - 239
Hospital Pharmacy - July/August 2019 - 240
Hospital Pharmacy - July/August 2019 - ISMP Adverse Drug Reactions
Hospital Pharmacy - July/August 2019 - 242
Hospital Pharmacy - July/August 2019 - 243
Hospital Pharmacy - July/August 2019 - 244
Hospital Pharmacy - July/August 2019 - 245
Hospital Pharmacy - July/August 2019 - Development of a Coprecepting Model for a Preceptor-in-Training Program for New Practitioners
Hospital Pharmacy - July/August 2019 - 247
Hospital Pharmacy - July/August 2019 - 248
Hospital Pharmacy - July/August 2019 - 249
Hospital Pharmacy - July/August 2019 - Facilitators and Barriers to Antibiotic Stewardship: A Qualitative Study of Pharmacists’ Perspectives
Hospital Pharmacy - July/August 2019 - 251
Hospital Pharmacy - July/August 2019 - 252
Hospital Pharmacy - July/August 2019 - 253
Hospital Pharmacy - July/August 2019 - 254
Hospital Pharmacy - July/August 2019 - 255
Hospital Pharmacy - July/August 2019 - 256
Hospital Pharmacy - July/August 2019 - 257
Hospital Pharmacy - July/August 2019 - 258
Hospital Pharmacy - July/August 2019 - Development and Implementation of a Standardized Sterile Compounding Training Program
Hospital Pharmacy - July/August 2019 - 260
Hospital Pharmacy - July/August 2019 - 261
Hospital Pharmacy - July/August 2019 - 262
Hospital Pharmacy - July/August 2019 - 263
Hospital Pharmacy - July/August 2019 - 264
Hospital Pharmacy - July/August 2019 - 265
Hospital Pharmacy - July/August 2019 - Transformation of Hospital Pharmacist Opioid Stewardship
Hospital Pharmacy - July/August 2019 - 267
Hospital Pharmacy - July/August 2019 - 268
Hospital Pharmacy - July/August 2019 - 269
Hospital Pharmacy - July/August 2019 - 270
Hospital Pharmacy - July/August 2019 - 271
Hospital Pharmacy - July/August 2019 - 272
Hospital Pharmacy - July/August 2019 - 273
Hospital Pharmacy - July/August 2019 - 274
Hospital Pharmacy - July/August 2019 - 275
Hospital Pharmacy - July/August 2019 - 276
Hospital Pharmacy - July/August 2019 - Cover3
Hospital Pharmacy - July/August 2019 - Cover4
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2020
https://www.nxtbook.com/nxtbooks/sage/psychologicalscience_demo
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2020
https://www.nxtbook.com/nxtbooks/sage/fai_202009
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_august2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2019
https://www.nxtbook.com/nxtbooks/sage/fai_201909
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_july2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2019
https://www.nxtbook.com/nxtbooks/sage/canadianpharmacistsjournal_05062019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2019
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201903
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2018
https://www.nxtbook.com/nxtbooks/sage/tec_20180810
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2018
https://www.nxtbook.com/nxtbooks/sage/fai_201807
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2018
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201803
https://www.nxtbook.com/nxtbooks/sage/slas_discovery_201712
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_november2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_september2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2017
https://www.nxtbook.com/nxtbooks/sage/fai_supplement_201709
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_may2017
https://www.nxtbook.com/nxtbooks/sage/fai_201706
https://www.nxtbook.com/nxtbooks/sage/fai_201607
https://www.nxtbookmedia.com