Nudges for Opioid Reduction After Major Surgery
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 484
- 试验地点
- 2
- 主要终点
- Total Discharge Opioid Burden
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients
- •Aged 18 and over
- •Undergo selected general surgical procedures
排除标准
- •Less than 18 years of age
结局指标
主要结局
Total Discharge Opioid Burden
时间窗: Immediately after study intervention
Morphine milligram equivalents in the initial discharge prescription after index surgery
次要结局
- Additional Opioid Burden within 30 days(Within 30 Days)
- Proportion of cases with Phone Calls to Surgery Department(Within 30 Days)
- Proportion of Cases with Hospital Readmissions to a Surgical Service(Within 30 Days)
- Proportion of Cases with Emergency Room Visits(Within 30 Days)
研究者
David Flum
Professor of Surgery
University of Washington