number of patients who still
used the opioids many months
after the surgery took place.
Michigan-OPEN will attempt
to meet this goal by educating
surgical teams about opioid
use.
In
a
statement,
Chad
Brummett, director of the
Division of Pain Research
in the UM Department of
Anesthesiology and a leading
member of Michigan-OPEN,
said
the
initiative
would
surmount
the
troubling
number
of
painkillers
prescribed by surgeons by
giving them the resources
they needed.
“Surgeons
prescribe
nearly 40 percent of opioid
painkillers in Michigan, but
have few resources to guide
them on best use of the drugs
by patients before and after
surgery,”
Brummett
said.
“We hope that by working
with surgical teams across
the state, we can fill that gap
for the benefit of individual
patients and our state as a
whole.”
Several medical students
have also worked on this
initiative.
Ryan
Howard,
a
fourth-year
medical
student who took charge of a
project specific to reducing
prescriptions after gallbladder
surgery, said he thought the
initiative was imperative and
surgeons especially had a
greater responsibility in it.
“I think this is really critical
work right now,” Howard said.
“In Michigan, more people die
from opioid overdose than
from
car
accidents.
Since
surgeons prescribe roughly 40
percent of the opioids in the
community, they have a huge
opportunity to help address
this issue. What we’re trying
to do at UM is model a way to
really comprehensively make a
difference in the safety of our
patients and our community
as a whole.”
Michigan-OPEN is being
coordinated
alongside
12
Blue
Cross
Blue
Shield
Michigan
Collaborative
Quality
Initiatives.
These
CQIs are composed of medical
professionals and hospitals
throughout
Michigan
that
work together to improve
surgical care.
Together,
Michigan-
OPEN and the CQIs will
create guidelines for surgical
professionals, such as primary
care and specialty physicians
who treat surgical patients.
These
guidelines
include
tactics for hospitals to deal
with patients and health care
providers.
The
Michigan-OPEN
initiative
will
also
put
a
special
emphasis
on
Medicaid patients. While this
demographic only accounts
for 12 percent of surgical
patients in the state, it makes
up 30 percent of people who
become dependent on opioid
painkillers after surgery.
Along with the effort to
prevent post-surgery opioid
addiction,
Michigan-OPEN
additionally plans to focus
on patients who were already
taking
prescription
opioid
painkillers before they had
surgery.
Additionally, the University
has also created a guide for
organizing opioid take-
back
events.
Typically,
pills can only be disposed
of at government agencies
like police stations. These
take-back events, which
have
interactive
maps
to direct people to the
nearest
locations,
have
proven to be effective —
one event in Ann Arbor
collected
approximately
89,500
pills,
most
of
which
were
prescribed
post-surgery.
Howard, who also ran a
project to increase access
of locations to dispose
of leftover opioid pills,
stressed the uncertainty
patients had about where
they should dispose of
their medication.
“Many of the patients
we spoke with knew it was
dangerous to have leftover
medication lying around,
but they simply didn’t
know where to take it,” he
said.
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