Effect of Default Electronic Health Record Settings on Clinician Opioid Prescribing Patterns in Emergency Departments
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain, Acute
- Sponsor
- University of California, San Francisco
- Enrollment
- 104
- Primary Endpoint
- Dispense quantity of prescribed opioids
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The investigators conducted a prospective, block-randomized study to determine whether and to what extent changes in the default settings in the electronic medical record (EMR) affect opioid prescriptions for patients discharged from emergency departments (EDs).
Detailed Description
In two large, urban emergency departments, we randomly altered the pre-populated dispense quantities of discharge prescriptions for commonly-prescribed opioids over a series of five 4-week blocks. These changes were made without announcement, and providers were not informed of the study itself.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Discharge prescription from emergency for study drug: hydrocodone/acetaminophen, oxycodone, or oxycodone/acetaminophen.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Dispense quantity of prescribed opioids
Time Frame: Through study completion, approximately 340 days
The dispense quantity of prescribed study drugs was collected from the electronic medical record at each site. The mean and median quantities per prescription according to each study arm were compared.
Secondary Outcomes
- Proportion ≤12(Through study completion, approximately 340 days)
- Proportion at default setting(Through study completion, approximately 340 days)