In 2012, the Pennsylvania Patient Safety Authority provided hospitals participating in the Pennsylvania Hospital Engagement Network adverse drug event collaboration with an 11-question opioid knowledge assessment tool to assess practitioners' knowledge about the use of opioids. In the winter of 2013-2014, the same assessment tool was distributed to reassess any changes in knowledge in the year elapsed from the first assessment. Overall, improvement in knowledge about the use of opioids did occur from 2012 to 2013-2014. There was a small but statistically significant increase in the percentage of correct answers selected in 7 of the 11 questions. The lowest-scoring questions continue to be those that encompass topics identifying the predictors of respiratory depression in patients receiving intravenous opioids, defining what constitutes an opioid-tolerant patient, and choosing medications that could potentiate the effects of an opioid with respect to a patient's ventilation. While education is important, a mix of high-leverage strategies (e.g., fail-safes, constraints, standardization) will be needed to improve and sustain the safe and appropriate use of opioids.
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