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    Towards safer use of opioids.

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    Authors
    Carson, R W R
    Jacob, P
    McQuillan, R
    Affiliation
    Department of Palliative Care Medicine, Beaumont Hospital, Beaumont, Dublin 9. raymondwcarson@hotmail.com
    Issue Date
    2009-09
    MeSH
    Analgesics, Opioid
    Drug Toxicity
    Humans
    Medication Errors
    Medication Systems, Hospital
    Pain
    Palliative Care
    Patient Care
    Physician's Practice Patterns
    Retrospective Studies
    
    Metadata
    Show full item record
    Citation
    Towards safer use of opioids. 2009, 102 (8):257-9 Ir Med J
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/127234
    PubMed ID
    19873867
    Abstract
    The main aim of our work was to improve the safety of opioid use in our institution, an acute generalhospital with 620 beds. Initially, all reported opioid errors from 2001 - 2006 were audited. The findings directed a range of multidisciplinary staff educational inputs to improve opioid prescribing and administration practice, and encourage drug error reporting. 448 drug errors were reported, of which 54 (12%) involved opioids; of these, 43 (79%) involved codeine, morphine or oxycodone. 31 of the errors (57%) were associated with administration, followed by 12 (22%) with dispensing and 11 (20%) with prescribing. There were 2 reports of definite patient harm. A subsequent audit examined a 17-month period following the introduction of the above teaching: 17 errors were noted, of which 14 (83%) involved codeine, morphine or oxycodone. Again, drug administration was most error-prone, comprising 11 (65%) of reports. However, just 2 (12%) of the reported errors now involved prescribing, which was a reduction.
    Item Type
    Article
    Language
    en
    ISSN
    0332-3102
    Collections
    Beaumont Hospital

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