J Am Pharm Assoc (2003). 2022 May-Jun;62(3):697-700. doi: 10.1016/j.japh.2022.02.001. Epub 2022 Feb 7.
Opioid stewardship has emerged as an innovative systems-level approach designed to reduce inappropriate opioid prescriptions and improve patient safety in acute care settings. Modeled on the successes of antimicrobial stewardship programs, key distinctions exist; in particular, the inherent subjectivity of managing acute pain is an important consideration of opioid stewardship that differentiates it with the more objective features of antibiotic selection. Shared decision-making, with pharmacists playing a central role, is regarded as an integral part of patient care and plays a vital role in managing pain. We describe important attributes of opioid stewardship and highlight the value of incorporating shared decision-making into these novel programs.
阿片类药物管理已成为一种创新的系统方法，旨在减少急性护理环境中不适当的阿片类药物处方，并提高患者安全性。该方法借鉴了抗菌药物管理计划的成功经验，存在一些关键区别；特别是，管理急性疼痛的固有主观性是阿片类药物管理的一个重要考虑因素，使其与抗生素选择的更客观特征区分开来。共同决策，药剂师发挥核心作用，被视为患者护理的一个组成部分，在疼痛管理中发挥着至关重要的作用。我们描述了阿片类药物管理的重要属性，并强调了将共同决策纳入这些新计划的价值。
