Clinicians’ perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report

Notes or commentaries


Heneka, N., Shaw, T., Azzi, C. and Phillips, J. L.. 2018. "Clinicians’ perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report." Supportive Care in Cancer. 26 (10), pp. 3315-3318. https://doi.org/10.1007/s00520-018-4231-0
Article Title

Clinicians’ perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report

ERA Journal ID13803
Article CategoryNotes or commentaries
AuthorsHeneka, N., Shaw, T., Azzi, C. and Phillips, J. L.
Journal TitleSupportive Care in Cancer
Journal Citation26 (10), pp. 3315-3318
Number of Pages4
YearOct 2018
PublisherSpringer
Place of PublicationGermany
ISSN0941-4355
1433-7339
Digital Object Identifier (DOI)https://doi.org/10.1007/s00520-018-4231-0
Web Address (URL)https://link.springer.com/article/10.1007/s00520-018-4231-0
Abstract

This paper reports the findings of a priority setting process, undertaken with cancer and palliative care clinicians, to better understand the characteristics of medication errors with opioids within their services. Participants representing six public hospitals in one Australian state took part in a series of priority setting workshops and, drawing on actual incidents occurring in their services, sought to identify where in the opioid medication process errors were most frequently occurring. Opioid error types and perceived contributing factors were explored, and strategies to reduce/prevent opioid errors were proposed. The priority setting process provided valuable insights into the types of opioid errors that occur in cancer and palliative care services and the complexity of addressing opioid errors from the clinician’s perspective. The findings from this priority setting process will inform future targeted quality improvement initiatives to support safe opioid medication practices in cancer and palliative care services.

KeywordsAnalgesics; opioid; Cancer care; Medication errors; Palliative care; Patient safety
ANZSRC Field of Research 2020420316. Palliative care
420311. Health systems
Public Notes

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Byline AffiliationsUniversity of Notre Dame Australia
University of Sydney
Royal Prince Alfred Hospital, Australia
University of Technology Sydney
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Heneka, Nicole, Shaw, Tim, Rowett, Debra and Phillips, Jane L.. 2016. "Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic review." Palliative Medicine. 30 (6), pp. 520-532. https://doi.org/10.1177/0269216315615002
Identifying Opioid Medication Error Types, Incidence and Patient Impact in Adult Oncology and Palliative Care Settings: A Systematic Review
Heneka, Nicole, Phillips, Jane L., Rowett, D. and Shaw, Tim. 2015. "Identifying Opioid Medication Error Types, Incidence and Patient Impact in Adult Oncology and Palliative Care Settings: A Systematic Review." 42nd COSA Annual Scientific Meeting. Hobart, Australia 17 - 19 Nov 2015 United Kingdom. John Wiley & Sons.
Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective
Phillips, Jane L., Lovell, Melanie, Luckett, Tim, Agar, Meera, Green, Anna and Davidson, Patricia. 2015. "Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 22 (1), pp. 33-41. https://doi.org/10.1016/j.colegn.2013.11.002
Multi-Centre Pre-Post Test Trial of a Complex QStream (c) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices
Phillips, Jane, Heneka, Nicole, Lam, Lawrence and Shaw, Tim. 2014. "Multi-Centre Pre-Post Test Trial of a Complex QStream (c) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices." Asia Pacific Journal of Clinical Oncology. 10, pp. 206-206.
A Complex QStream (R) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices: Results from a Quasi-Experimental Study
Phillips, Jane, Heneka, Nicole, Lam, Lawrence and Shaw, Tim. 2014. "A Complex QStream (R) Pain Assessment Intervention on Cancer Nurses' Pain Screening and Assessment Practices: Results from a Quasi-Experimental Study." Asia Pacific Journal of Clinical Oncology. 10, pp. 136-136.
Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study
Phillips, Jane L., Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2014. "Impact of a novel online learning module on specialist palliative care nurses’ pain assessment competencies and patients’ reports of pain: Results from a quasiexperimental pilot study." Palliative Medicine. 28 (6), pp. 521-529. https://doi.org/10.1177/0269216314527780
Pain management can be achieved with commitment and support
Lovell, M., Birch, M., Luckett, T., Davidson, P., Green, A., Marie, N., Stubbs, J., Phillips, J. and Agar, M.. 2014. "Pain management can be achieved with commitment and support." Palliative Care NSW State Conference. Sydney, Australia 22 - 24 Oct 2014
A systems approach to improving cancer pain management
Lovell, M., Luckett, T., Phillips, J., Agar, M., Boyle, F., Stubbs, J., Birch, M., Green, A., Marie, N. and Davidson, P.. 2014. "A systems approach to improving cancer pain management." 2014 Innovations in Cancer Treatment and Care Conference. Sydney, Australia Oct 2014
Exploring opiate errors in the specialist cancer and palliative care setting: perceptions of key stakeholders
Phillips, Jane, Heneka, Nicole and Shaw, Tim. 2013. "Exploring opiate errors in the specialist cancer and palliative care setting: perceptions of key stakeholders." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia. John Wiley & Sons.
Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit
Phillips, Jane, Heneka, Nicole and Shaw, Tim. 2013. "Mapping cancer pain screening, assessment and reassessment practices within one Australian health district: results from a baseline chart audit." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia. John Wiley & Sons.
Impact of a Qstream Online Learning Module on Palliative Care Nurses’ Pain Assessment Competencies and Patients’ Reports of Pain: Results from a Quasi-Experimental Pilot Study
Phillips, Jane, Heneka, Nicole, Hickman, Louise, Lam, Lawrence and Shaw, Tim. 2013. "Impact of a Qstream Online Learning Module on Palliative Care Nurses’ Pain Assessment Competencies and Patients’ Reports of Pain: Results from a Quasi-Experimental Pilot Study." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013 Australia. John Wiley & Sons.
What will it take to improve cancer pain outcomes?: Developing a dissemination and implementation strategy to promote a person-centred clinical pathway for cancer pain
Lovell, M., Phillips, J., Agar, M., Luckett, T., Boyle, F., Green, A., Stubbs, J. and Davidson, P.. 2013. "What will it take to improve cancer pain outcomes?: Developing a dissemination and implementation strategy to promote a person-centred clinical pathway for cancer pain." Cancer Nurses Society of Australia’s 16th Winter Congress. Brisbane, Australia 25 - 27 Jul 2013
Implementation forum for cancer pain assessment and management guidelines
Lovell, M., Boyle, F., Agar, M., Luckett, T., Phillips, J., Clayton, J., Green, A., Birch, M. and Davidson, P.. 2013. "Implementation forum for cancer pain assessment and management guidelines." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013
Stop Pain Project: A dual health professional and patient pathway to manage pain in individuals with cancer
Phillips, Jane, Luckett, T., Davidson, P., Lovell, M. and Green, A.. 2012. "Stop Pain Project: A dual health professional and patient pathway to manage pain in individuals with cancer." Cancer Nurses Society of Australia's 15th Winter Congress. Hobart, Australia 26 - 28 Jul 2012
STOP Pain Project: a collaborative, interdisciplinary project to improve the person-centredness of assessment and management of cancer pain
Clayton, J., Davidson, P., Phillips, J., Luckett, T., Green, A., Agar, M., Broadbent, A. and Lovell, M.. 2012. "STOP Pain Project: a collaborative, interdisciplinary project to improve the person-centredness of assessment and management of cancer pain." 2012 Joint Meeting of International Psycho-Oncology Society (IPOS) 14th World Congress and COSA's 39th Annual Scientific Meeting. Brisbane, Australia 13 - 15 Nov 2012