Abstract

The long-term use of opioids to manage chronic pain in those with an opiate use disorder (OUD) is dangerous and poses a considerable risk of death. Pain management providers must have protocols and tools in place for OUD screening and referral. If OUD is not managed correctly, such as through provider education, screening, and referral, morbidity and mortality rates will severely affect society (Centers for Disease Control and Prevention, 2020). This quality improvement (QI) project's PICOT was among providers in a pain management treatment center, how will implementing an evidence-based OUD screening tool, compared to no screening tool, affect OUD screening and referral compliance rates over ten weeks? The project used the Plan Do Study Act method of quality improvement. Baseline assessment included reviewing medical records ten weeks before the intervention to gauge pre-implementation OUD screenings and referrals. An educational session for providers taught the providers the new tool and referral protocol for OUD. After implementing the RODS tool, OUD screening improved from 2% to 92%. In addition, referrals for OUD treatment improved from zero referrals to a total of eleven referrals after implementation. Identification and implementation of the RODS tool improved OUD screening and referrals for treatment in the pain management clinic. Although there was an improvement in all quality improvement measures, additional work is needed in several key areas, specifically focusing on longitudinal projects and patient metrics.

Author Details

Brian D. Pervis, DNP, APRN, AP-PMN, PGMT-BC, GERO-BC, WCC, FNP-C, DAPWCA

Sigma Membership

Tau Kappa at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Opiate Use Disorder, Pain Management, OUD Screening Tools

Advisor

Megan O'Connor

Second Advisor

Mary Ann Anderson

Third Advisor

Angela Saathoff

Degree

DNP

Degree Grantor

Capella University

Degree Year

2021

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-12-15

Full Text of Presentation

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