Resources for Opioid Stewardship Implementation (ROSI)
Resources for Opioid Stewardship Implementation (ROSI) is a multidisciplinary toolkit to help navigate opioid stewardship.
It aims to provide healthcare facilities with practical, user-friendly information and resources to help facilities begin to implement an opioid stewardship program including:
- Where do you start?
- Who do you need?
- How do you measure?
- Resources for change
In 2022, recognising that opioid stewardship is an increasingly important patient safety initiative, the Australian Commission for Safety and Quality in Health Care (ACSQHC) published the Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard (CCS).1
Despite a wealth of academic publications and the availability of many existing resources, clinicians consistently report that they find it challenging to implement opioid stewardship programs and recommendations within the CCS.
The resources within ROSI have been developed by a team of multidisciplinary clinicians experienced in facilitating changes in opioid prescribing. Significant improvements in patient safety and other outcome measures can be demonstrated when the resources contained within the toolkit are incorporated into opioid stewardship programs.
Prescribing guides can help less experienced prescribers provide effective age-based opioid analgesia rather than using underdosing as a safety tool. This is especially important for younger and for opioid-tolerant patients. Guides should be uniform across the organisation; on lanyards, on medication prescribing platforms, and embedded in all trauma and pain protocols.
Reference: 1. Australian Commission on Safety and Quality in Health Care. Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard (2022). https://www.safetyandquality.gov.au/publications-and-resources/resource-library/opioid-analgesic-stewardship-acute-pain-clinical-care-standard-2022 Accessed January 2024.
Where do you start and who do you need?
Discover valuable insights through our video series, where experienced clinicians share practical tips on transforming opioid prescribing practices. Learn how the ROSI tool has led to significant enhancements in patient outcomes and how you can apply these strategies to achieve similar results.
Introduction to ROSI from Associate Professor Michael Vagg, Director of Professional Affairs, FPM.
Introduction to ROSI from Associate Professor Michael Vagg, Director of Professional Affairs, FPM.
Where do you start & who do you need?
Hear some practical tips from clinicians experiences in facilitating change in opioid prescribing and demonstrating significant improvement in patient outcome measures using ROSI tool.
Dr Andrew Lange, Anaesthetic Registrar, St. Vincent's Hospital, NSW.
Dr. Andrew Lange, Anaesthetic Registar, St. Vincent's Hospital, NSW.
Associate Professor Jennifer Stevens, Anaesthetist and Pain Specialist, St. Vincent's Hospital, NSW.
Assoc. Prof. Jennifer Stevens, Anaesthetist & Pain Specialist, St. Vincent's Hospital, NSW.
Dr Nicole Glavin, Anesthetic Registrar, Wollongong Hospital, NSW.
Dr. Nicole Glavan, Anaesthetic Registrar, Wollongong Hospital, NSW.
Mr Jaiden Fullerton-Harvey, Clinical Pharmacist, Wollongong Hospital, NSW.
Mr. Jaiden Fullerton-Harvey, Clinical Pharmacist, Wollongong Hospital, NSW.
Dr Nicholas Maytom, Anaesthetist, Wollongong Hospital, NSW.
Dr. Nicholas Maytom, Anaesthetist, Wollongong Hospital, NSW.
This is what success looks like - rates of respiratory depression at Wollongong Hospital, NSW.
Disclaimer: CSL Seqirus were not involved in the creation of intellectual property or any other content contained within the ROSI.
About ROSI
Resources for Opioid Stewardship Implementation (ROSI) is a toolkit of resources developed by a multidisciplinary team of clinicians to assist organisations initiate or improve existing opioid stewardship programs.
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How do you measure?
Assessing the use of modified-release opioid analgesics within the facility is key to working towards compliance with Quality Statement 5 of the Australian Commission on Safety and Quality in Health Care Clinical Care Standard
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Resources for change
Resources contained within the ROSI have been developed by a team of multidisciplinary clinicians experienced in facilitating changes in opioid prescribing.
Find out more