Nudges for Opioid Reduction After Major Surgery Trial

Not Applicable

Active, not recruiting

• Conditions: Surgery
• Interventions: Behavioral: Electronic Medical Record Based Discharge Medication Order Set

• Registration Number: NCT04927351
• Lead Sponsor: University of Washington

Brief Summary

This is a prospective pilot trial to evaluate a new electronic medical record based intervention to improve discharges after surgery. The investigators hypothesize that standard discharge medications after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.

Detailed Description

This is a 2-arm parallel randomized trial comparing a new electronic medical record (EMR)-based intervention to usual care after surgery. All patients will receive their usual peri- and intraoperative care. Then, upon discharge, their providers will see the new EMR-based discharge order set (intervention arm) or not (usual care). The investigators hypothesize that standard discharge medication order sets after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.

Study Timeline

• Study First Submitted: 2021-06-04
• Study First Submitted QC: 2021-06-14
• Study First Posted: 2021-06-16
• Study Start: 2021-11-17
• Primary Completion: 2022-12-01
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-03
• Last Update Posted: 2024-07-08
• Study Completion: 2024-12-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 484

Inclusion Criteria

• Adult patients
• Aged 18 and over
• Undergo selected general surgical procedures

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Exclusion Criteria

• Less than 18 years of age

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Electronic Medical Record Based Discharge Medication Order Set	New electronic medical record based discharge medication order set.

Primary Outcome Measures

Name	Time	Method
Total Discharge Opioid Burden	Immediately after study intervention	Morphine milligram equivalents in the initial discharge prescription after index surgery

Secondary Outcome Measures

Name	Time	Method
Additional Opioid Burden within 30 days	Within 30 Days	Morphine milligram equivalents on any additional opioid prescription within 30 days of discharge
Proportion of cases with Phone Calls to Surgery Department	Within 30 Days	Phone calls to surgery department within 30 days of discharge
Proportion of Cases with Hospital Readmissions to a Surgical Service	Within 30 Days	Readmissions to surgical service within 30 days of discharge
Proportion of Cases with Emergency Room Visits	Within 30 Days	ER visits within 30 days of discharge

Trial Locations

Locations (1)

University of Washington; 🇺🇸 Seattle, Washington, United States