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Developing Strategies for Opioid Prescribing and Safe Pain Management

HSS Opioid Stewardship for Clinicians

The opioid crisis is one of the most pressing public health issues of our time. With overdose from prescribed opioids, heroin, and fentanyl a leading cause of accidental death in the United States, clinicians in all settings have urgently sought to avert the dangers of opioid overprescribing while safely managing pain.

At HSS, our surgeons, anesthesiologists, rheumatologists, physician assistants, nurse practitioners, pharmacists, and social workers have established a framework for assessing and treating opioid-naïve or -dependent patients, using prescription drug monitoring programs, and educating prescribers and patients on multimodal pain management.

As a multidisciplinary leader in musculoskeletal health, we are committed to sharing our expertise with clinicians as we all aim toward a new era of opioid stewardship.

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Both pain and opioid-related side effects contribute to poor outcomes after surgery. On the other hand, multimodal analgesia can improve pain control, so it can directly affect the stress response. It also minimizes opioid requirements and opioid-related side effects to help facilitate recovery and better outcomes.

Ellen M. Soffin, MD, PhD
HSS Anesthesiologist

 

Programs for Nurses

 

 

Programs for All Clinicians

Institutional Strategies and Patient Care Videos

 


How Hospitals Can Fight the Opioid Epidemic

Seth A. Waldman, MD, Justin Donofrio, LCSW, Peter W. Grimaldi, MS, PA-C, MBA, MPT, describe the successful three-part approach to helping patients and providers implemented at HSS. Video originally published on November 2, 2017 as part of the Hospital for Special Surgery and Medscape Collaboration.

 

 

Chronic Pain Videos

 

Surgical Pain Management Videos

 

 


Multimodal Analgesia, Still Underused Nationwide, May Be Key in Reducing Opioid Abuse

James D. Beckman, MD and Ellen M. Soffin, MD, PhD explain safe and synergistic methods of controlling pain. share a spine surgery case that embodies recent shifts in managing pain. Originally published on November 2, 2017 as part of the Hospital for Special Surgery and Medscape Collaboration.

 

 


Pain Paradigm Shift: New Multimodal Analgesia Strategies Use Latest Data to Enhance Care

James D. Beckman, MD and Ellen M. Soffin, MD, PhD share a spine surgery case that embodies recent shifts in managing pain. Originally published on November 2, 2017 as part of the Hospital for Special Surgery and Medscape Collaboration.

 

 

Publications

HSS Journal

Pregabalin Did Not Improve Pain Management After Spinal Fusions
Michael K. Urban, MD, PhD, Kristy M. Labib, MD, Shane C. Reid, MBS, BA, Amanda K. Goon, BA, Valeria Rotundo, Frank P. Cammisa Jr., MD, Federico P. Girardi, MD

Single Local Infiltration Analgesia (LIA) Aids Early Pain Management After Total Knee Replacement (TKR): An Evidence-Based Review and Commentary
E. Carlos Rodriguez-Merchan, MD, PhD

The Effect of Regional Analgesia on Vascular Tone in Hip Arthroplasty Patients
Enrique A. Goytizolo, MD, Ottokar Stundner, MD, Sandra Hurtado Rúa, PhD, Dorothy Marcello, BA, Valeria Buschiazzo, Ansara M. Vaz, MD, Stavros G. Memtsoudis, MD, PhD

Grand Rounds from HSS: Management of Complex Cases

Multimodal Anesthesia & Pain Management
Volume 7, Issue 2 | June 2018

Anesthesia & Analgesia

An Evidence-Based Approach to the Prescription Opioid Epidemic in Orthopedic Surgery
Ellen Soffin, MD, PhD, Seth Waldman, MD, Roberta Stack, Gregory Ligouri, MD

 

Additional Resources

NQF's National Quality Partners Playbook: Opioid Stewardship
The essential guide for healthcare organizations and clinicians to support safe and appropriate prescribing of opioids and managing patients' pain.

Opioid Topics in the News

 

 

Back to Opioid Stewardship