作者
Haytham MA Kaafarani, Ahmed I Eid, Donna M Antonelli, David C Chang, Ahmed E Elsharkawy, Joana Abed Elahad, Elizabeth A Lancaster, John T Schulz, Serguei I Melnitchouk, William V Kastrinakis, Matthew M Hutter, Peter T Masiakos, Amy S Colwell, Cameron D Wright, Keith D Lillemoe
发表日期
2019/9/1
来源
Annals of surgery
卷号
270
期号
3
页码范围
452-462
出版商
LWW
简介
Methods:
A multispecialty multidisciplinary initiative was designed to change the culture of postoperative opioid prescribing, including: consensus-built opioid guidelines for 42 procedures from 11 specialties, provider-focused posters displayed in all surgical units, patient opioid/pain brochures setting expectations, and educational seminars to residents, advanced practice providers, residents and nurses. Pre-(April 2016–March 2017) versu post-initiative (April 2017–May 2018) analyses of opioid prescribing at discharge [median oral morphine equivalent (OME)] were performed at the specialty, prescriber, patient, and procedure levels. Refill prescriptions within 3 months were also studied.
Results:
A total of 23,298 patients were included (11,983 pre-; 11,315 post-initiative). Post-initiative, the median OME significantly decreased for 10 specialties (all P values< 0.001), the percentage of patients discharged without …
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