{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:42:20Z","timestamp":1771011740121,"version":"3.50.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"1167","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Academic Health Sciences Network\u2014North East and North Cumbria"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,22]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Opioids are often required for acute inpatient pain relief but lack of knowledge about common and less common long-term side effects can lead to inappropriate discharge prescribing. There are few validated educational tools available for junior prescribers on hospital wards. Education around opioid prescribing and deprescribing remains limited in the undergraduate curriculum and yet almost all controlled drug prescribing in hospitals is done by junior doctors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 5-minute video was developed with iterative feedback from medical students, junior prescribers, pain specialists, primary care educational leads, and a patient who had developed opioid addiction after hospital prescribing. It explained the need for clear stop dates on discharge summaries and the range of opioid side effects. It also highlighted the hospital admission as an opportunity to reduce inappropriate high-dose opioids. A short knowledge-based quiz before and after viewing the video was used to evaluate the impact on and change in knowledge and confidence around opioid prescribing. This tool was designed to be used entirely online to allow delivery within existing mandatory training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Feedback was positive and showed that knowledge of side effects significantly increased but also contacts with ward pharmacists and the acute pain team increased. Junior doctors highlighted that the undergraduate curriculum did little to prepare them for prescription addiction and that pharmacy and senior support was needed to support any changes in longer-term, high-dose opioids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This short educational video improved knowledge of safe opioid prescribing and could be incorporated within wider opioid education in UK healthcare.<\/jats:p><\/jats:sec>","DOI":"10.1093\/postmj\/qgac005","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T09:28:20Z","timestamp":1673342900000},"page":"32-36","source":"Crossref","is-referenced-by-count":3,"title":["Online education for safer opioid prescribing in hospitals\u2014lessons learnt from the Opioid Use Change (OUCh) project"],"prefix":"10.1093","volume":"99","author":[{"given":"Konrad","family":"Gliszczynski","sequence":"first","affiliation":[{"name":"Newcastle University The Medical School, , Newcastle upon Tyne, NE2 4HH, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Hindmarsh","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne NHS Foundation Trust , Newcastle upon Tyne, NE1 4LP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Ellis","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne NHS Foundation Trust , Newcastle upon Tyne, NE1 4LP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johnathan","family":"Ling","sequence":"additional","affiliation":[{"name":"University of Sunderland Faculty of Health Sciences and Wellbeing, , Sunderland, SR1 3SD, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstie N","family":"Anderson","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne NHS Foundation Trust , Newcastle upon Tyne, NE1 4LP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"2019","DOI":"10.2146\/ajhp040490.p2","article-title":"Postoperative pain management: a practical review, part 2","volume":"62","author":"Strassels","year":"2005","journal-title":"Am J Health Syst Pharm"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g1251","article-title":"Rates and risk factors for prolonged opioid use after major surgery: population based cohort study","volume":"348","author":"Clarke","year":"2014","journal-title":"BMJ"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1001\/archinternmed.2011.1827","article-title":"Long-term analgesic use after low-risk surgery: a retrospective cohort study","volume":"172","author":"Alam","year":"2012","journal-title":"Arch Intern Med"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-020325","article-title":"National trends in emergency readmission rates: a longitudinal analysis of administrative data for England between 2006 and 2016","volume":"8","author":"Friebel","year":"2018","journal-title":"BMJ Open"},{"key":"2023032215370223200_","volume-title":"Scenario: managing pain \u2013 non emergency","author":"National Institute for Health and Care Excellence (NICE)","year":"2021"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1056\/NEJMp1512932","article-title":"Opioid prescribing for chronic pain \u2014 achieving the right balance through education","volume":"374","author":"Alford","year":"2016","journal-title":"N Engl J Med"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1007\/s40264-018-0687-6","article-title":"Prescription opioid fatalities: examining why the healer could be the culprit","volume":"41","author":"Adewumi","year":"2018","journal-title":"Drug Saf"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.1016\/j.drugalcdep.2016.08.641","article-title":"Targeting practitioners: a review of guidelines, training, and policy in pain management","volume":"173 Suppl 1","author":"Barth","year":"2017","journal-title":"Drug Alcohol Depend"},{"key":"2023032215370223200_","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1080\/08897077.2017.1296525","article-title":"What do providers want to know about opioid prescribing? 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