Implementation of a Quality Improvement Initiative to Decrease Opioid Prescribing in General Surgery.

Liese C C Pruitt¹, Douglas S Swords², Sathya Vijayakumar³, Barbara Ostlund⁴, Jeannette Prochazka⁴, Nathan G Richards⁴, Brian T Bucher⁵, David E Skarda²

¹Department of Surgery, University of Utah, Salt Lake City, Utah; Surgical Specialties Clinical Program, Intermountain Healthcare, Salt Lake City, Utah. Electronic address: liese.pruitt@hsc.utah.edu.

²Department of Surgery, University of Utah, Salt Lake City, Utah; Surgical Specialties Clinical Program, Intermountain Healthcare, Salt Lake City, Utah.

³Surgical Specialties Clinical Program, Intermountain Healthcare, Salt Lake City, Utah; Empiric Health Inc, Salt Lake City, Utah.

⁴Surgical Specialties Clinical Program, Intermountain Healthcare, Salt Lake City, Utah.

⁵Department of Surgery, University of Utah, Salt Lake City, Utah.

PubMed DOI

Abstract

BACKGROUND: There is increasing need to avoid excess opioid prescribing after surgery. We prospectively assessed overprescription in our hospital system and used these data to design a quality improvement intervention to reduce overprescription. MATERIALS AND METHODS: Beginning in January 2017, an e-mail-based survey to assess the quantity of opioids used postoperatively as well as patient-report…

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Mentioned Companies

Empiric Health
affiliation

Other Funding

AHRQ HHS(K08 HS025776)
United States

MeSH Terms

Adult0Aged0Analgesics, Opioid0Female0Health Plan Implementation0Humans0Hydrocodone0Male0Medical Overuse0Middle Aged0Opioid Epidemic0Pain Management0Pain Measurement0Postoperative Pain0Patient Reported Outcome Measures0Postoperative Care0Practice Guidelines as Topic0Practice Patterns, Physicians'0Prospective Studies0Quality Improvement*Surgical Procedures, Operative0Tablets0

Keywords

General surgeryNarcoticOpioidQuality improvement

Article Info

PMID: 31668605
DOI: 10.1016/j.jss.2019.09.051
Received: June 26, 2019
Accepted: September 20, 2019

How to Cite

Pruitt LCC et al. Implementation of a Quality Improvement Initiative to Decrease Opioid Prescribing in General Surgery. J Surg Res2020;247514-523. doi:10.1016/j.jss.2019.09.051

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