De-Implementing Opioid Use and Implementing Optimal Pain Management Following Dental Extractions
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tooth Extraction
- Sponsor
- HealthPartners Institute
- Enrollment
- 5722
- Locations
- 1
- Primary Endpoint
- Opioid Prescribing at the Extraction Encounter
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The overarching goal of this project is to de-implement the reliance on opioid analgesics and to implement reliance on non-opioid analgesics to manage postoperative pain following dental extractions. Using a prospective, provider-level, 3-arm cluster randomized trial design, the investigators will compare different strategies to reduce the reliance on opioids and increase the use of alternative pain management approaches utilizing information support tools aimed at both providers and their patients.
Detailed Description
The primary objective of this project is to de-implement the use of opioid analgesics for the management of postoperative pain following dental extractions and to implement effective alternative pain management. The investigators propose a cluster-randomized trial design in which dental practitioners will be randomly assigned to 1 of 3 conditions involving different implementation strategies. The first condition, Standard Practice, will serve as a control condition. The second condition will implement a clinical decision support (CDS) tool that will extract patient history and interface with the state prescription drug monitoring program to provide personalized recommendations for analgesic prescribing and offer language for discussing optimal, evidence-based non-opioid pain management with dental extraction patients. The third condition will involve an enhanced version of the CDS (CDS-E) that will also include information regarding optimal, evidence-based, non-opioid pain management delivered directly to the patient both before and following the dental extraction visit. The investigators will examine opioid and non-opioid prescribing data from the electronic health record across study arms as well as other provider- and patient-focused outcomes using mixed methods.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Have a dental extraction of a permanent teeth performed by an eligible HealthPartners provider during the intervention period
Exclusion Criteria
- •Patients who have opted out of research at HealthPartners
- •Meet above age criteria
Outcomes
Primary Outcomes
Opioid Prescribing at the Extraction Encounter
Time Frame: At the extraction encounter
Number of participants prescribed an opioid.
Secondary Outcomes
- Compare the Study Arm Differences in Patient Experiences of Post-extraction Pain(3-6 days after the extraction encounter)
- Compare the Study Arm Differences in Shared Decision-making(3-6 days after the extraction encounter)
- Exclusive Non-opioid Prescribing or Recommendations at the Extraction Encounter(At the extraction encounter)