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Improving Pain Reassessment Compliance and Reducing Opioid-Related Harm in a High-Acuity Acute Care Unit: An EBPQI Initiative214 views
Author
Price, Shawn, Nursing Practice - School of Nursing, University of Virginia
Advisors
Quatrara, Beth, School of Nursing, University of Virginia
Abstract
Abstract
Background:
Although opioids provide effective pain relief, their use poses considerable risks. Timely pain reassessment after opioid administration is crucial for evaluating treatment effectiveness and recognition of adverse effects. However, opioid-related adverse drug events (ORADEs) remain a significant patient safety concern in hospitalized patients.
Local Problem:
Variability with pain reassessment practices was associated with a trend in increased naloxone use, emphasizing an opportunity to enhance pain reassessment practices and reinforce protocols for patients on opioid therapy.
Methods:
The Mountain Model for Evidence-Based Practice Quality Improvement using iterative cycles (EBPQI).
Interventions:
Implementation progressed through a series of structured phases: workflow standardization, EHR prompts, and staff education.
Results:
Pain reassessment compliance improved and sustained above the institutional ≥90% benchmark, naloxone administration decreased by 87%, and regression analysis demonstrated a reduction in opioid utilization.
Conclusions:
Structured, workflow-integrated interventions enhanced pain reassessments and decreased naloxone use by improving quality through evidence-based practices in patient care.
Price, Shawn. Improving Pain Reassessment Compliance and Reducing Opioid-Related Harm in a High-Acuity Acute Care Unit: An EBPQI Initiative. University of Virginia, Nursing Practice - School of Nursing, DNP (Doctor of Nursing Practice), 2026-04-27, https://doi.org/10.18130/xr37-k730.
