A Cluster-randomized Trial of Modifying Electronic Health Record Defaults to Reduce the Prescribed Quantity of Opioid Analgesics in Primary Care and Emergency Department Settings
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 15,000
- 主要终点
- Initial prescription <= 10 pills (y/n)
研究概览
简要总结
The goal of this research is to investigate the impact of changing opioid analgesic prescribing defaults on the quantity of opioids prescribed for acute non-cancer pain in adult primary care and emergency department settings. We will change prescribing defaults for select short-acting opioid analgesics including immediate release oxycodone and hydrocodone as well as codeine and tramadol, including their co-formulations with acetaminophen. In a cluster-randomized trial of matched pairs of Montefiore Medical Center clinical sites, stratified by specialty and teaching status, we will evaluate the impact of this intervention on patient-level outcomes using 18 months of data (6 months pre-intervention and 12 months post-intervention).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
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
- •Primary care clinic (internal medicine, family medicine, or urgent care) or emergency department within Montefiore Medical Center
- •Patient Inclusion Criteria:
- •Received a new opioid analgesic prescription, defined as no opioid analgesic prescription in the preceding 6 months
排除标准
- •Cancer diagnosis code within the past 1 year
结局指标
主要结局
Initial prescription <= 10 pills (y/n)
时间窗: Through study completion (18 months)
Extracted from the electronic medical record
次要结局
- Initial prescription number of pills(Through study completion (18 months))
- Initial prescription morphine milligram equivalents(Through study completion (18 months))
- Total morphine milligram equivalents prescribed, including re-orders(Within 30 days after the initial prescription)
- Opioid analgesic re-order (y/n)(Within 30 days after the initial prescription)
- Hospitalizations(Within 30 days after the initial prescription)
- Outpatient visits(Within 30 days after the initial prescription)
- Total opioid analgesic pills prescribed, including re-orders(Within 30 days after the initial prescription)
- Emergency department visits(Within 30 days after the initial prescription)
研究者
Marcus Bachhuber
Assistant Professor
Montefiore Medical Center