1 40 1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource June 2024 List Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month June List 2024 URL Address <a href="http://doi.org/10.1016/j.jpainsymman.2024.02.418" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.jpainsymman.2024.02.418</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Improving Safe Opioid Prescribing for Pediatric Hospice and Palliative Care Patients Publisher An entity responsible for making the resource available Journal of Pain and Symptom Management Date A point or period of time associated with an event in the lifecycle of the resource 2024 Subject The topic of the resource mental health; child; human; male; quality of life; palliative therapy; needs assessment; total quality management; opiate; hospice; controlled substance; patient safety; self report; conference abstract; drug therapy; electronic medical record; special situation for pharmacovigilance; Patient Health Questionnaire 2; time series analysis Creator An entity primarily responsible for making the resource Johansen W; Massmann C; Bray J; Daut E Description An account of the resource Outcomes: 1. Utilizing a quality improvement-approach, participants will self-report the ability to assess the implementation of several opioid safety components (i.e. opioid safety contract, open-ended question, and mental health screener) and how they may improve safety regarding opioid prescribing in pediatric hospice/palliative care patients. 2. Utilizing a quality improvement-approach, participants will self-report the ability to learn skills relating to discussing safe opioid prescribing with pediatric hospice/palliative care patients and their families. Key Message: The global aim of this QI project is to improve the safety of prescribing controlled substances in pediatric hospice/palliative care patients. The SMART aim of this QI project is to increase the percentage of opioid safety components completed on eligible pediatric hospice/palliative care patients from 0 to 80% from 10/31/22 to 2/28/23. Introduction/Context: Opiates can provide substantial improvement in quality of life for pediatric hospice/palliative care patients; however, misuse/abuse of these drugs can cause a direct threat to the safety of these patients and their families. Improving safe opioid practices would benefit the safety of patients being prescribed controlled substances which is a specific strategic goal of Saint Louis Children's Hospital. Method(s): After reviewing the current literature, we defined several safe opioid practices through the creation of several opioid safety components: opioid safety contract, mental health screener (PHQ-2 and GAD-2), and open-ended questions relating to opioid prescribing. Following a needs assessment, we created a high-level process map and Pareto chart reflecting potential barriers to utilization of opioid safety components. A key driver diagram was created and several PDSA cycles were completed with cumulative data being collected and displayed on a time-series chart for each of the opioid safety components. Pre/Post surveys were also created to assess family's perception relating to opioid prescribing, administration, and education. Result(s): The process measures were the cumulative proportions of eligible patients which had an opioid safety component recorded in the electronic medical record. Those proportions are as follows: 69% for opioid contract, 42% for mental health screener, and 46% for open-ended question. We had 2 outcomes measures: 1)pre/post surveys sent to both our team as well as families assessing project impact and 2)days between non-compliance related to signed opioid safety contracts (displayed on a T-chart). Conclusion(s): We have adopted the opioid safety contract into our daily practice and abandoned the mental health screener and open-ended questions. We are investigating ways to increase days between non-compliant events regarding the opioid safety contract. We are hopeful to spread this opioid safety contract other departments at Saint Louis Children's Hospital. Keywords: Quality Improvement /Advocacy / Policy/ RegulationsCopyright © 2024 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1016/j.jpainsymman.2024.02.418" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2024.02.418</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). 2024 Bray J Child conference abstract controlled substance Daut E Drug Therapy electronic medical record Hospice Human Johansen W Journal of Pain and Symptom Management June List 2024 Male Massmann C Mental Health Needs Assessment Opiate Palliative Therapy Patient Health Questionnaire 2 Patient Safety Quality Of Life Self Report special situation for pharmacovigilance time series analysis Total Quality Management