scholarly journals Development and Implementation of an Opioid Risk-Reduction Strategy

2021 ◽  
Author(s):  
◽  
Heather Darmetko
Keyword(s):  
Chronic Pain ◽  
Risk Reduction ◽  
Safety Information ◽  
Opioid Overdose ◽  
Reversal Agent ◽  
Usual Practice ◽  
Reduction Strategy ◽  
Risk Reduction Strategy ◽  
Practice Problem ◽  
Life Threatening

Practice Problem: Accidental overdose is a continued concern for those who are prescribed opioids, and it is essential that healthcare members intensify prevention and response measures in order to prevent death or misuse from this medication. PICOT: The PICOT question that guided this project was: “In adult patients at an outpatient chronic pain management clinic (P), how does development and implementation of a safe opioid risk-reduction office policy (I), compared to usual practice (C), improve patient rates of naloxone availability and health literacy (O) over eight weeks (T)?” Evidence: The CDC’s Guideline for Prescribing Opioids for Chronic Pain, the Surgeon General’s Advisory on Naloxone and Opioid Overdose, and the U.S Department of Health and Human Services website were used to gather evidence-based components for information and practice changes. Intervention: This project created a safe opioid risk-reduction strategy in the form of a new office protocol that ensured naloxone was received with instruction on what to do in the event of an overdose or life-threatening respiratory reaction to opioids and other safety information. The providers assessed the change in knowledge by using the teach back method. Outcome: The results showed improvement in the availability of naloxone as a reversal agent as well as increased understanding of safe opioid storage, disposal, and drug interactions. Conclusion: The manuscript reports barriers, successes, and challenges discovered during the project. The recommendations can be applied to other outpatient clinic sites to enhance the safety of all patients who manage their chronic pain with the use of prescription opioids.

scholarly journals EFFECT OF FRAUD RISK REDUCTION STRATEGY ON THE LEVEL OF EMPLOYEE FRAUD IN NIGERIAN PUBLIC SERVICE ORGANIZATIONS

2012 ◽  
Vol 4 (1) ◽  
pp. 30-44
Author(s):  
Joe Duke II ◽  
Kechi A. Kankpang
Keyword(s):  
Risk Reduction ◽  
Public Service ◽  
Survey Design ◽  
Service Organizations ◽  
Cross Sectional ◽  
Reduction Strategy ◽  
Risk Reduction Strategy ◽  
Fraud Risk ◽  
Public Service Organizations ◽  
Employee Fraud

Given the rampant headline revelations of widespread fraud perpetrated in Nigerian public service organizations in recent times, this study addresses a topical subject that commands urgent attention, understanding and intervention. Using a survey design and case approach, a cross-sectional study was carried out on a sample of 54 systematically selected public service organizations spread across the South-South geopolitical region of Nigeria. The study showed that the fraud risk reduction strategy deployed in Nigerian public service organizations is not effective in reducing the overall level of employee fraud. The study showed that auditor’s monitoring strength is low. It also found that the prevailing reward and compensation system does not facilitate reduction of incentive for employee fraud. These results point to a need to review, strengthen and make more dynamic and responsive the current fraud risk reduction strategy used. Key words: employee fraud, organizations, Nigeria.

scholarly journals Dart to the target: an alternative bull’s eye parametric display for European Society of Cardiology / European Respiratory Society goal-orientated risk reduction strategy in pulmonary arterial hypertension

2018 ◽  
Vol 8 (3) ◽  
pp. 204589401878052
Author(s):  
Cihangir Kaymaz ◽  
Ozgur Yasar Akbal ◽  
Aykun Hakgor ◽  
Hacer Ceren Tokgoz ◽  
Seda Tanyeri
Keyword(s):  
Pulmonary Arterial Hypertension ◽  
Arterial Hypertension ◽  
Risk Reduction ◽  
European Society ◽  
European Respiratory Society ◽  
Reduction Strategy ◽  
Risk Reduction Strategy ◽  
Pulmonary Arterial ◽  
European Society Of Cardiology ◽  
Bull's Eye

Despite the significant mortality and mobidity benefits being obtained with the targeted therapies in patients with pulmonary arterial hypertension (PAH), mid- to long-term survival of patients with this disease has remained unsatisfactory. For earlier and reliable risk stratification in PAH and tailoring the dynamic management strategies, various risk assessment models have been developed. Currently available risk reduction strategy recommended by the European Society of Cardiology (ESC)/European Respiratory Society (ERS) 2015 Pulmonary Hypertension Guidelines has been utilized in three recent registries. In this review, we evaluated the risk prediction models and management algorithms in this setting and propose an alternative parametric display, a bull’s eye, dart table scheme for ESC/ERS goal-orientated risk reduction strategy in patients with PAH.

Management strategies for women at high risk for breast and ovarian cancer: Are women satisfied?

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 1524-1524
Author(s):  
S. N. Westin ◽  
C. C. Sun ◽  
K. H. Lu ◽  
K. M. Schmeler ◽  
P. T. Soliman ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Decision Making ◽  
Patient Satisfaction ◽  
High Risk ◽  
Risk Reduction ◽  
Patient Questionnaire ◽  
Breast And Ovarian Cancer ◽  
Brca Mutations ◽  
Reduction Strategy ◽  
Risk Reduction Strategy

1524 Background: Women at high risk for breast and ovarian cancer have two major management options to reduce their risk of ovarian cancer, periodic screening (PS) or prophylactic oophorectomy (PO). Little is known regarding patient satisfaction levels with choice of risk reduction strategy. Our objective was to determine levels of patient satisfaction with PO versus PS and to identify factors which may influence satisfaction. Methods: As part of a larger study, women who received BRCA1/2 testing before July 2005 were sent a follow-up patient questionnaire packet. We are reporting on the Cancer Worry Scale and Satisfaction With Decision (SWD) scale (range of possible scores, 6–30). The lowest 10th percentile of the SWD score (21) was used to define low satisfaction. Chi-square, t-Test and Mann-Whitney tests were used for statistical analyses. Results: A total of 540 surveys were mailed and 309 responses were received (57%). We excluded 127 patients due to history of an oophorectomy for benign or malignant indications or incomplete SWD scale. The median age of respondents was 48.2. 60/182 women (33%) had BRCA mutations and 64/182 (35.2%) underwent PO. The overall satisfaction rate among respondents was high (median score 29, range 14–30). Median SWD score was significantly higher in patients in the PO group compared to the PS group (30.0 vs. 26.5, p<.001). Patients with BRCA mutations had higher median SWD scores, regardless of management type (30.0 vs. 28.0, p=.013). Low satisfaction scores were associated with the perception that the decision between PO and PS was difficult to make (p=.001). Patients who expressed ongoing difficulty in their decision-making also had lower satisfaction scores (p=.016). Satisfaction was unrelated to demographics, clinical factors, or concerns of cancer risk. Conclusions: In our study, the majority of women at high risk for breast and ovarian cancer were satisfied with their choice of risk reduction strategy. In particular, women who chose PO had higher levels of overall satisfaction. Difficulty with decision-making was associated with lower satisfaction levels. Improved education and support of these women through the decision-making process may enhance overall levels of satisfaction with risk reduction strategy. No significant financial relationships to disclose.

scholarly journals Withdrawal (Coitus Interruptus) as a Sexual Risk Reduction Strategy: Perspectives from African-American Adolescents

2008 ◽  
Vol 38 (5) ◽  
pp. 779-787 ◽  
Author(s):  
Jennifer R. Horner ◽  
Laura F. Salazar ◽  
Daniel Romer ◽  
Peter A. Vanable ◽  
Ralph DiClemente ◽  
...  
Keyword(s):  
African American ◽  
Risk Reduction ◽  
Sexual Risk ◽  
African American Adolescents ◽  
Sexual Risk Reduction ◽  
Reduction Strategy ◽  
Risk Reduction Strategy
Sign in / Sign up

Export Citation Format

Share Document