Joint Commission deletes EP on pain management
Editor's Note The Joint Commission on March 20 announced the deletion of RI.01.01.01, element of performance (EP) 8: “The hospital respects the patient’s right to pain management” because it is no longer relevant and necessary to ensure quality of care and safety. The deletion is effective immediately. The Joint Commission’s…
CDC study finds nearly 30% increase in ED visits for opioid overdose
Editor's Note Researchers from the Centers for Disease Control & Prevention (CDC) found that emergency department (ED) visits for opioid overdoses increased 29.7% from July 2016 to September 2017, according to the March 9 Morbidity and Mortality Weekly Report. Every demographic group and all US regions saw increases, but the…
Model helps predict pain, functional outcomes after lumbar spine surgery
Editor's Note In this study, researchers used patient-reported outcome (PRO) scores from 15 hospitals in Washington to create a clinical prediction model for spine surgery patients that explains most of the variability in pain reduction and functional improvement after surgery. The researchers found that after lumbar fusion surgery: 58.0% had…
Opioids not better at reducing pain-related function than nonopioids
Editor's Note Opioids were no better than nonopioid medications at improving pain that interfered with activities such as walking, work, and sleep in patients with moderate to severe chronic back pain or hip or knee osteoarthritis pain, in this study. In 240 patients who were followed for 12 months, the…
Multimodal pain management reduces opioid use, complications after total joints
Editor's Note Using a multimodal approach to pain management was associated with decreased opioid use, opioid prescriptions, and opioid complications in total joint replacement patients in this study. Of 512,393 hip replacement and 1,028,069 knee replacement patients analyzed, multimodal pain management techniques were used in 85.6% during surgery, on the…
Johns Hopkins allowing animal-assisted therapy in ICU
Editor's Note Bringing specially trained dogs into ICUs can safely and substantially ease patients' physical and emotional pain, according to Johns Hopkins researchers. Having seen how successful animal-assisted therapy was in the inpatient rehabilitation unit at Johns Hopkins, the researchers adapted the hospital’s protocol to safely bring dogs to ICU…
Visual cues help PACU staff avoid medication errors
Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…
Education brochure helps surgical patients improve opioid disposal
Editor's Note Dissemination of low-cost patient education brochures improved disposal of unused opioids after surgery, this study finds. The study involved 334 patients−164 who did not receive the brochure and 170 who did receive it. Patients who received the brochure informing them of appropriate methods for disposal were twice as…
Total joint patients using fewer opioids to manage postop pain
Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…
Bariatric surgery patients at risk for new prolonged opioid use
Editor's Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Of 14,063 bariatric surgery patients in the Michigan Bariatric Surgery Collaborative who…
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