The opioid crisis is a major concern of most health care institutions, including our large academic center. In this article, an organized approach to managing the epidemic institutionally is discussed. An Opioid Stewardship Program was instituted at our tertiary-care center with multiple sites and states of practice, which included diverse membership and expertise. Charges of the program included reviewing current practice, workflows, and external and internal guidelines and evaluating and standardizing prescribing practices. The development of an Opioid Stewardship Program resulted in: (1) an understanding of our diverse prescribing practices and the formation of patient- and procedure-specific guidelines to manage them, (2) education tools for our patients and providers, and (3) workflows and practice advisories within the electronic health record to support appropriate prescribing and monitoring of patients. This ongoing work continues to evolve in response to the needs of our patients, changing regulatory environments, and our improved understanding of our practices.

中文翻译：

---

一种管理阿片类药物危机的制度方法。

阿片类药物危机是包括我们大型学术中心在内的大多数医疗机构的主要关切。在本文中，讨论了一种从制度上管理流行病的有组织方法。在我们的三级护理中心建立了阿片类药物管理计划，该计划具有多个地点和实践状态，其中包括不同的成员资格和专业知识。该计划的职责包括审查当前的实践，工作流以及外部和内部准则，以及评估和标准化处方实践。阿片类药物管理计划的发展产生了以下方面：（1）了解我们的各种处方做法，并形成了针对患者和手术的特定指导原则以对其进行管理；（2）针对我们的患者和提供者的教育工具，（3）电子病历中的工作流程和实践咨询，以支持对患者进行适当的处​​方和监测。随着患者需求，不断变化的法规环境以及对实践的进一步了解，这项正在进行的工作在不断发展。