{"title":"Improving Transdermal Fentanyl Prescribing Practices Using Electronic Medical Record.","authors":"Vandana Nagpal, Emily Vlass","doi":"10.1089/jpm.2024.0480","DOIUrl":null,"url":null,"abstract":"<p><p><b><i>Background:</i></b> Transdermal (TD) fentanyl has a unique place in pain management that is not universally understood, thereby raising concerns for patient safety. This project aimed to improve TD fentanyl prescribing practices through an ordering algorithm in the electronic medical record (EMR). <b><i>Measures:</i></b> The main outcome measure was the percentage of erroneous TD fentanyl orders after EMR order implementation. <b><i>Intervention:</i></b> After a retrospective chart review to assess TD fentanyl orders, a root cause analysis led to the development and introduction of an enhanced ordering algorithm in EMR in January 2023, accompanied by pharmacy education. <b><i>Outcomes:</i></b> After the intervention, a review of TD fentanyl orders over five months showed a reduction in inappropriate ordering from 42.5% to 15.2%. <b><i>Conclusions:</i></b> Standardized EMR order sets, combined with provider education, hold promise for enhancing the quality and safety of chronic pain management with TD fentanyl.</p>","PeriodicalId":16656,"journal":{"name":"Journal of palliative medicine","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of palliative medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/jpm.2024.0480","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Transdermal (TD) fentanyl has a unique place in pain management that is not universally understood, thereby raising concerns for patient safety. This project aimed to improve TD fentanyl prescribing practices through an ordering algorithm in the electronic medical record (EMR). Measures: The main outcome measure was the percentage of erroneous TD fentanyl orders after EMR order implementation. Intervention: After a retrospective chart review to assess TD fentanyl orders, a root cause analysis led to the development and introduction of an enhanced ordering algorithm in EMR in January 2023, accompanied by pharmacy education. Outcomes: After the intervention, a review of TD fentanyl orders over five months showed a reduction in inappropriate ordering from 42.5% to 15.2%. Conclusions: Standardized EMR order sets, combined with provider education, hold promise for enhancing the quality and safety of chronic pain management with TD fentanyl.
期刊介绍：
Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments.
The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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