The initiative is multifaceted and involves key stakeholder contribution, quality improvement activities and education. It is a prescriber-led continuous quality improvement, which incorporate outcomes of practice audits into educational interventions for their peers and adopt changes in their own practice.
Practice improvement is the result of both heightened awareness and self-reflection and therefore is not limited to a specific opioid but extends to other analgesia and general pain management. In addition to practice improvement in pain management, an increase in the general quality improvement capability and capacity of the frontline clinicians is a by-product of this methodology.
This process is supported by a local multi-disciplinary team formed through consultation/facilitation by the QOSP Team. The local team consists of a clinician lead (typically Registrar or SMO), as well as a team of senior medical staff, pharmacists, nursing and allied health involved in providing care for patients within the department. This team support a cycle OOPPS in their department through:
- Participation in project meetings and one-on-one catch-ups (with both local and QOSP teams)
- Lead decisions around QI steps to follow the baseline audit
- Review of developed education materials
- Provide updates and feedback to the QOSP Team about project status and progress