Looking at the website for Troy Medical Center, it is a 97-bed hospital servicing a six-county area in Southern Alabama. According to this https://www.rasmussen.edu/degrees/health-sciences/blog/types-of-hospitals/ a hospital with < 100 beds is classified as a “small hospital” This appears that this system encourages nursing staff to “just say no” when pts request an opioid dose, which there are prescriber’s orders for a particular pt. Does this term “improves nurse practices” means that they lowered the number of “nursing hours per pt” ? I did a word search on this article and the word PAIN did not appear ONCE in the entire text but in the text… Reducing excess.. prolonging lengths of stay and increasing the risk of readmission Is this another reference to the bottom line of the hospital ?
https://www.troymedicalcenter.com/about/
Significant Reduction In Inpatient Opioid Use Achieved With Careeffectstm Stewardship Service
https://menafn.com/1106430328/Significant-Reduction-In-Inpatient-Opioid-Use-Achieved-With-Careeffectstm-Stewardship-Service
(MENAFN– PR Newswire) Indicator Sciences Highlights 20% Inpatient Opioid Reduction at Troy Regional Medical Center
BIRMINGHAM, Ala.
, June 13, 2023 /PRNewswire/ –Indicator Sciences, the provider of the CareEffects Stewardship consultative analytics service, today proudly unveils the results of a successful initiative at Troy Regional Medical Center. Implementation of the service has led to a 20% reduction in inpatient opioid use within just six months, underscoring its value and effectiveness.
CareEffects reduces inpatient opioid use by 20%, improves nurse practices & elevates patient care at Troy Medical Center
![Opioids pose a challenge for hospitals in that inpatient administration can cause complications and influence outpatient utilization.]( "Opioids pose a challenge for hospitals in that inpatient administration can cause complications and influence outpatient utilization.")
Opioids pose a challenge for hospitals in that inpatient administration can cause complications and influence outpatient utilization.
Reducing excess
opioid utilization is critical to prevent opioid-related adverse drug events, complications which occur in nearly 10% of inpatient admissions in U.S. hospitals, prolonging lengths of stay and increasing the risk of readmission.
Leveraging comprehensive context-of-care risk-adjustment analytics, CareEffects Stewardship identifies individual nurses whose practice patterns lead to increased opioid utilization compared with their peers. As nurses manage roughly 80% of inpatient opioids on a PRN (as needed) basis, there is an urgent need for closer monitoring of individual nursing practices. This pioneering approach paves the way for focused stewardship education, fostering improved patient outcomes.
Rick Smith, CEO of Troy Regional Medical Center, praises the program: “As leaders of a small hospital, we have a zero-tolerance policy towards preventable complications. CareEffects Stewardship has become an integral part of our pursuit of delivering the highest quality of patient care.”
Led by Chief Clinical Officer Amy Minor, RN, a targeted nursing intervention was conducted, focusing on approximately 5% of the inpatient nursing staff. These nurses each exhibited a significant increase in opioid use per shift compared with their peers, after risk-adjusting for context-of-care.
Minor points to a success story: “One of our nurses, initially identified as an outlier, has since evolved into a practice leader. Our non-punitive approach has not just enhanced patient safety, but also nurtured a supportive and learning-centric environment for our nursing staff.”
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