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Increasing the safety of analgesia use in a community hospital
Gulseth MP, Meisel S, Meisel M. Increasing the safety of analgesia use in a community hospital.  American Journal of Health-System Pharmacy. 1 Jun 2004;61:1143-1146.

Two sentinel events involving opioid-induced respiratory depression led to the formation of a multidisciplinary team that was able to achieve a 75 percent reduction in cases of severe respiratory depression due to opioid analgesics. This study shows that having a pain management team (pharmacist, CNS, anesthesiologist) monitor naloxone use on surgical floors increases the safety of opioid analgesia use while still maintaining analgesic efficacy.

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