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A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study

Objective: The objectives of this study are to describe opioid stewardship practices in hospitals being implemented globally, in addition to investigating the attitudes and perceptions of health professionals regarding opioid stewardship in the hospital setting. Methods: A survey was developed by th...

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Autores principales: Al-Samawy, Sarah, Varughese, Nisha, Vaillancourt, Regis, Wang, Xiao Yu (William), Penm, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293457/
https://www.ncbi.nlm.nih.gov/pubmed/34287334
http://dx.doi.org/10.3390/pharmacy9030122
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author Al-Samawy, Sarah
Varughese, Nisha
Vaillancourt, Regis
Wang, Xiao Yu (William)
Penm, Jonathan
author_facet Al-Samawy, Sarah
Varughese, Nisha
Vaillancourt, Regis
Wang, Xiao Yu (William)
Penm, Jonathan
author_sort Al-Samawy, Sarah
collection PubMed
description Objective: The objectives of this study are to describe opioid stewardship practices in hospitals being implemented globally, in addition to investigating the attitudes and perceptions of health professionals regarding opioid stewardship in the hospital setting. Methods: A survey was developed by the research team to ask about participants’ attitudes and perceptions regarding opioid stewardship practices. The survey was piloted for performance by five independent third-party healthcare professionals prior to being made available online, being hosted using Research Electronic Data Capture software, with invitations distributed by the International Pharmaceutical Federation (FIP). Descriptive analyses were used to describe the features of the study, and responses obtained from the survey were further categorised into subgroups separating answers relating to attitudes and perceptions, and policies and regulations. Results: Overall, there were 50 respondents from 18 countries, representing an 8% response rate from the FIP hospital pharmacy section mailing list. In total, 33/50 (66%) participants agreed opioids are overused nationally, with 22/49 (45%) agreeing they are overused at their workplace. Furthermore, 32/50 (64%) agreed the opioid crisis is a significant problem nationally, and 44/50 (88%) agreed opioid stewardship would reduce problems associated with the opioid crisis. Policies to educate providers about safe opioid prescribing were uncommon, not exhibited in 26/46 (57%) of hospitals, with all EMR and SE Asia hospitals not displaying this policy. Policy for investigation of narcotic discrepancies was present in 34/46 (74%) of hospitals, and there was a policy for reporting discrepancies at 33/46 (72%) hospitals. Conclusion: In conclusion, healthcare professionals in the American region are more likely to perceive the opioid crisis as a problem, as opposed to those from the European region. Regardless of the presence or absence of a crisis, the implementation of further opioid education and stewardship practices are necessary globally and will contribute to safer prescribing and utilisation practices in hospitals.
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spelling pubmed-82934572021-07-22 A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study Al-Samawy, Sarah Varughese, Nisha Vaillancourt, Regis Wang, Xiao Yu (William) Penm, Jonathan Pharmacy (Basel) Article Objective: The objectives of this study are to describe opioid stewardship practices in hospitals being implemented globally, in addition to investigating the attitudes and perceptions of health professionals regarding opioid stewardship in the hospital setting. Methods: A survey was developed by the research team to ask about participants’ attitudes and perceptions regarding opioid stewardship practices. The survey was piloted for performance by five independent third-party healthcare professionals prior to being made available online, being hosted using Research Electronic Data Capture software, with invitations distributed by the International Pharmaceutical Federation (FIP). Descriptive analyses were used to describe the features of the study, and responses obtained from the survey were further categorised into subgroups separating answers relating to attitudes and perceptions, and policies and regulations. Results: Overall, there were 50 respondents from 18 countries, representing an 8% response rate from the FIP hospital pharmacy section mailing list. In total, 33/50 (66%) participants agreed opioids are overused nationally, with 22/49 (45%) agreeing they are overused at their workplace. Furthermore, 32/50 (64%) agreed the opioid crisis is a significant problem nationally, and 44/50 (88%) agreed opioid stewardship would reduce problems associated with the opioid crisis. Policies to educate providers about safe opioid prescribing were uncommon, not exhibited in 26/46 (57%) of hospitals, with all EMR and SE Asia hospitals not displaying this policy. Policy for investigation of narcotic discrepancies was present in 34/46 (74%) of hospitals, and there was a policy for reporting discrepancies at 33/46 (72%) hospitals. Conclusion: In conclusion, healthcare professionals in the American region are more likely to perceive the opioid crisis as a problem, as opposed to those from the European region. Regardless of the presence or absence of a crisis, the implementation of further opioid education and stewardship practices are necessary globally and will contribute to safer prescribing and utilisation practices in hospitals. MDPI 2021-07-01 /pmc/articles/PMC8293457/ /pubmed/34287334 http://dx.doi.org/10.3390/pharmacy9030122 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Al-Samawy, Sarah
Varughese, Nisha
Vaillancourt, Regis
Wang, Xiao Yu (William)
Penm, Jonathan
A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title_full A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title_fullStr A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title_full_unstemmed A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title_short A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
title_sort global survey on opioid stewardship practices in hospitals: a cross-sectional pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293457/
https://www.ncbi.nlm.nih.gov/pubmed/34287334
http://dx.doi.org/10.3390/pharmacy9030122
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