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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

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Provider detailing: an intervention to decrease prescription opioid deaths in Utah.

Susan Cochella1, Kim Bateman

  • 1Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah 84108, USA. susan.cochella@hsc.utah.edu

Pain Medicine (Malden, Mass.)
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PubMed
Summary
This summary is machine-generated.

Utah

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • Addressing the prescription opioid overdose epidemic in Utah.
  • Implementing a multipronged strategy to reduce opioid-related deaths.
  • Focusing on provider education and prescribing practices.

Purpose of the Study:

  • To describe the provider detailing intervention aimed at curbing opioid deaths.
  • To assess the impact of educational presentations on healthcare providers' prescribing behaviors.
  • To evaluate changes in opioid prescribing practices and their correlation with overdose death rates.

Main Methods:

  • Developed and delivered presentations on six recommended opioid prescribing practices.
  • Encouraged use of the state prescription drug database.
  • Collected survey data on provider confidence and behavior changes at baseline and follow-up (1 and 6 months).
  • Incentivized participation with continuing medical education credits.

Main Results:

  • Utah's medication-related overdose deaths decreased by 14.0% in 2008 compared to 2007.
  • 46 presentations reached 581 physicians and numerous other healthcare workers.
  • Significant improvements in prescribing behaviors reported, including reduced long-acting opioid use for acute pain, increased database utilization, and adoption of lower starting doses.
  • 30-50% of providers reported implementing guideline-based practices like EKG/sleep study referrals and patient education.

Conclusions:

  • Provider detailing intervention associated with reduced opioid death rates and improved prescribing behaviors.
  • Acknowledged that other concurrent interventions may have contributed to the observed decline.
  • The intervention's impact was constrained by its short-term funding.