{"id":"https://openalex.org/W4367307385","doi":"https://doi.org/10.5055/jom.2023.0780","title":"Implementation of required sedation assessment in nursing workflow to address naloxone utilization","display_name":"Implementation of required sedation assessment in nursing workflow to address naloxone utilization","publication_year":2023,"publication_date":"2023-04-19","ids":{"openalex":"https://openalex.org/W4367307385","doi":"https://doi.org/10.5055/jom.2023.0780","pmid":"https://pubmed.ncbi.nlm.nih.gov/37145927"},"language":"en","primary_location":{"id":"doi:10.5055/jom.2023.0780","doi":"https://doi.org/10.5055/jom.2023.0780","is_oa":false,"landing_page_url":"https://doi.org/10.5055/jom.2023.0780","pdf_url":null,"source":{"id":"https://openalex.org/S2764961062","display_name":"Journal of Opioid Management","issn_l":"1551-7489","issn":["1551-7489","2375-0146"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Opioid Management","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077923932","display_name":"Edward H. Hardison","orcid":"https://orcid.org/0000-0003-2947-7745","observed_orcids":["https://orcid.org/0000-0003-2947-7745"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edward Hardison, MD","raw_affiliation_strings":["Department of Internal Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee; Research Associate, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee; Research Associate, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011832663","display_name":"Ainsley K. Bloomer","orcid":"https://orcid.org/0000-0003-2543-8028","observed_orcids":["https://orcid.org/0000-0003-2543-8028"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ainsley Bloomer, MD","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030333912","display_name":"Meghan K. Wally","orcid":"https://orcid.org/0000-0003-4540-532X","observed_orcids":["https://orcid.org/0000-0003-4540-532X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Meghan K. Wally, PhD","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012564495","display_name":"Erica McArthur","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1294429298","display_name":"Morgan Stanley Children's Hospital","ror":"https://ror.org/016m8pd54","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1294429298","https://openalex.org/I1340179700"]},{"id":"https://openalex.org/I78577930","display_name":"Columbia University","ror":"https://ror.org/00hj8s172","country_code":"US","type":"education","lineage":["https://openalex.org/I78577930"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erica McArthur, MD","raw_affiliation_strings":["Morgan Stanley Children's Hospital Columbia University, New York; Research Associate, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Morgan Stanley Children's Hospital Columbia University, New York; Research Associate, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":["https://openalex.org/I1294429298","https://openalex.org/I78577930"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112604182","display_name":"Joseph R. Hsu","orcid":"https://orcid.org/0000-0002-7050-6504","observed_orcids":["https://orcid.org/0000-0002-7050-6504"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joseph R. Hsu, MD","raw_affiliation_strings":["Vice Chair of Quality, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vice Chair of Quality, Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080252703","display_name":"Susan Bear","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Bear, PharmD","raw_affiliation_strings":["Pharmacy Services, Administration of Pharmacy, Atrium Health, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pharmacy Services, Administration of Pharmacy, Atrium Health, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042098994","display_name":"Steven Jarrett","orcid":"https://orcid.org/0000-0001-5795-9640","observed_orcids":["https://orcid.org/0000-0001-5795-9640"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven Jarrett, PharmD","raw_affiliation_strings":["Medication Safety Officer, Patient Safety, Atrium Health, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medication Safety Officer, Patient Safety, Atrium Health, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039580192","display_name":"Tamar C. Roomian","orcid":"https://orcid.org/0000-0002-8680-1102","observed_orcids":["https://orcid.org/0000-0002-8680-1102"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tamar Roomian, MS, MPH","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019594825","display_name":"D. Matthew Sullivan","orcid":"https://orcid.org/0000-0001-5537-6986","observed_orcids":["https://orcid.org/0000-0001-5537-6986"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D. Matthew Sullivan, MD","raw_affiliation_strings":["Quality & Care, Information and Analytic Services, Atrium Health, Charlotte, North Caro-lina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Quality & Care, Information and Analytic Services, Atrium Health, Charlotte, North Caro-lina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070337082","display_name":"Karon Wold","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karon Wold, MSN","raw_affiliation_strings":["Department of Surgical Services, Atrium Health, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgical Services, Atrium Health, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109488405","display_name":"Ziqing Yu","orcid":"https://orcid.org/0009-0002-2526-9076","observed_orcids":["https://orcid.org/0009-0002-2526-9076"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ziqing Yu, MS","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038034386","display_name":"Susan Marie Odum","orcid":"https://orcid.org/0000-0001-7769-4782","observed_orcids":["https://orcid.org/0000-0001-7769-4782"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Susan Odum, PhD","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085852638","display_name":"Rachel B. Seymour","orcid":"https://orcid.org/0000-0002-9203-8297","observed_orcids":["https://orcid.org/0000-0002-9203-8297"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rachel B. Seymour, PhD","raw_affiliation_strings":["Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4492,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.60249404,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"19","issue":"3","first_page":"247","last_page":"255"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.8438000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.8438000082969666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.09730000048875809,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.02160000056028366,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/opioid-induced-sedation","display_name":"opioid-induced sedation","score":0.9670000076293945},{"id":"https://openalex.org/keywords/sedation-assessment","display_name":"sedation assessment","score":0.9269999861717224},{"id":"https://openalex.org/keywords/multimodal-pain-therapy","display_name":"multimodal pain management","score":0.7300000190734863},{"id":"https://openalex.org/keywords/sedating-medications","display_name":"sedating medications","score":0.878000020980835},{"id":"https://openalex.org/keywords/electronic-clinical-decision-support","display_name":"electronic clinical decision support","score":0.8519999980926514},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.3479999899864197}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9380209445953369},{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.8102312088012695},{"id":"https://openalex.org/C2778750930","wikidata":"https://www.wikidata.org/wiki/Q4540629","display_name":"(+)-Naloxone","level":4,"score":0.7888919115066528},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.6690234541893005},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.5069797039031982},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.49545443058013916},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4818197786808014},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.4724346101284027},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4492107033729553},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4275447130203247},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.42500850558280945},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.35859915614128113},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.1411203145980835},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13210856914520264},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000701","descriptor_name":"Analgesics, Opioid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009270","descriptor_name":"Naloxone","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009292","descriptor_name":"Narcotic Antagonists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.5055/jom.2023.0780","doi":"https://doi.org/10.5055/jom.2023.0780","is_oa":false,"landing_page_url":"https://doi.org/10.5055/jom.2023.0780","pdf_url":null,"source":{"id":"https://openalex.org/S2764961062","display_name":"Journal of Opioid Management","issn_l":"1551-7489","issn":["1551-7489","2375-0146"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Opioid Management","raw_type":"journal-article"},{"id":"pmid:37145927","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37145927","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of opioid management","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2621950954","https://openalex.org/W2577420039","https://openalex.org/W1942220351","https://openalex.org/W2016171818","https://openalex.org/W2025130302","https://openalex.org/W2249107674","https://openalex.org/W2945105690","https://openalex.org/W2552255307","https://openalex.org/W4387743362","https://openalex.org/W2586183250"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Opioid-related":[1],"adverse":[2],"drug":[3],"events":[4],"continue":[5],"to":[6,11,18,54,119,137,180,235],"occur.":[7],"This":[8],"study":[9,77],"aimed":[10],"characterize":[12],"the":[13,35,55,76,205,217,227],"patient":[14],"population":[15],"receiving":[16,221],"naloxone":[17,33,138],"inform":[19],"future":[20],"intervention":[21,179],"efforts.":[22],"DESIGN:":[23],"We":[24],"describe":[25],"a":[26,38,66,133],"case":[27],"series":[28],"of":[29,84,88,95,99,110,130,149,219,229],"patients":[30,72,85,131,150,160,197,220],"who":[31],"received":[32,86,91,151,161],"in":[34,42,122,185,233],"hospital":[36],"during":[37,75],"16-week":[39],"time":[40],"frame":[41],"2016.":[43],"Data":[44],"were":[45,73],"collected":[46],"on":[47],"other":[48,156],"administered":[49],"medications,":[50],"reason":[51],"for":[52,178,200,207,212],"admission":[53],"hospital,":[56],"pre-existing":[57],"diagnoses,":[58],"comorbidities,":[59],"and":[60,202,225],"demographics.":[61],"SETTING:":[62],"Twelve":[63],"hospitals":[64],"within":[65],"large":[67],"healthcare":[68],"system.":[69],"PATIENTS:":[70],"46,952":[71],"admitted":[74],"period.":[78],"31.01":[79],"percent":[80,142,148],"(n":[81,168],"=":[82,169],"14,558)":[83],"opioids,":[87],"which":[89],"158":[90],"naloxone.":[92,96,208],"INTERVENTION:":[93],"Administration":[94],"Main":[97],"outcome":[98],"interest:":[100],"Sedation":[101,106],"assessment":[102],"via":[103],"Pasero":[104],"Opioid-Induced":[105],"Scale":[107],"(POSS),":[108],"administration":[109,121,139],"sedating":[111,165,223],"medications.":[112,158],"RESULTS:":[113],"POSS":[114,134],"score":[115],"was":[116],"documented":[117,135,143],"prior":[118,136],"opioid":[120,182,237],"93":[123],"(58.9":[124],"percent)":[125],"patients.":[126],"Less":[127],"than":[128,163],"half":[129],"had":[132],"with":[140,155],"36.8":[141],"4":[144],"hours":[145],"prior.":[146],"58.2":[147],"multimodal":[152,230],"pain":[153,213,231,241],"therapy":[154],"nonopioid":[157],"Most":[159],"more":[162],"one":[164],"medication":[166],"concurrently":[167],"142,":[170],"89.9":[171],"percent).":[172],"CONCLUSIONS:":[173],"Our":[174],"findings":[175],"highlight":[176],"areas":[177],"prevent":[181,204],"oversedation.":[183],"Investing":[184],"electronic":[186],"clinical":[187],"decision":[188],"support":[189],"mechanisms,":[190],"such":[191],"as":[192],"sedation":[193],"assessment,":[194],"could":[195],"detect":[196],"at":[198],"risk":[199],"oversedation":[201],"ultimately":[203],"need":[206],"Coordinated":[209],"order":[210],"sets":[211],"management":[214,232],"can":[215],"reduce":[216,236],"percentage":[218],"multiple":[222],"medications":[224],"promote":[226],"use":[228],"efforts":[234],"reliance":[238],"while":[239],"optimizing":[240],"control.":[242]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-04-29T00:00:00"}
