دورية أكاديمية
Impact of an Opioid Prescribing Guideline in the Acute Care Setting.
| العنوان: | Impact of an Opioid Prescribing Guideline in the Acute Care Setting. |
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| المؤلفون: | del Portal DA; Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania., Healy ME; Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania., Satz WA; Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania., McNamara RM; Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania. |
| المصدر: | The Journal of emergency medicine [J Emerg Med] 2016 Jan; Vol. 50 (1), pp. 21-7. Date of Electronic Publication: 2015 Aug 15. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 8412174 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0736-4679 (Print) Linking ISSN: 07364679 NLM ISO Abbreviation: J Emerg Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2010>- : New York : Elsevier Original Publication: New York : Pergamon Press, c1983- |
| مواضيع طبية MeSH: | Guideline Adherence* , Practice Guidelines as Topic*, Analgesics, Opioid/*therapeutic use , Drug Prescriptions/*statistics & numerical data , Practice Patterns, Physicians'/*statistics & numerical data, Adolescent ; Adult ; Aged ; Emergency Service, Hospital ; Female ; Humans ; Male ; Middle Aged ; Pain/drug therapy ; Philadelphia ; Retrospective Studies ; Young Adult |
| مستخلص: | Background: Death from opioid abuse is a major public health issue. The death rate associated with opioid overdose nearly quadrupled from 1999 to 2008. Acute care settings are a major source of opioid prescriptions, often for minor conditions and chronic noncancer pain. Objective: Our aim was to determine whether a voluntary opioid prescribing guideline reduces the proportion of patients prescribed opioids for minor and chronic conditions. Methods: A retrospective chart review was performed on records of adult emergency department visits from January 2012 to July 2014 for dental, neck, back, or unspecified chronic pain, and the proportion of patients receiving opioid prescriptions at discharge was compared before and after the guideline. Attending emergency physicians were surveyed on their perceptions regarding the impact of the guideline on prescribing patterns, patient satisfaction, and physician-patient interactions. Results: In our sample of 13,187 patient visits, there was a significant (p < 0.001) and sustained decrease in rates of opioid prescriptions for dental, neck, back, or unspecified chronic pain. The rate of opioid prescribing decreased from 52.7% before the guideline to 29.8% immediately after its introduction, and to 33.8% at an interval of 12 to 18 months later. The decrease in opioid prescriptions was observed in all of these diagnosis groups and in all age groups. All 31 eligible prescribing physicians completed a survey. The opioid prescribing guideline was supported by 100% of survey respondents. Conclusions: An opioid prescribing guideline significantly decreased the rates at which opioids were prescribed for minor and chronic complaints in an acute care setting. (Copyright © 2016 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: emergency department; narcotic; opioid abuse; overdose; prescribing guideline |
| المشرفين على المادة: | 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20150819 Date Completed: 20161012 Latest Revision: 20220321 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1016/j.jemermed.2015.06.014 |
| PMID: | 26281819 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 0736-4679 |
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| DOI: | 10.1016/j.jemermed.2015.06.014 |