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Suboptimal Opioid Prescribing: A Practice Change Project.

Linda S Young1, Robert S Crausman2, John P Fulton3

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|March 1, 2018
PubMed
Summary
This summary is machine-generated.

Implementing an opioid prescribing guideline significantly reduced opioid prescriptions in urgent care clinics. This quality improvement project aimed to decrease opioid addiction and overdose deaths by limiting opioid availability.

Keywords:
opioid epidemicopioid prescriptionpractice changeprescribing guidelinesurgent care

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Area of Science:

  • Public Health
  • Clinical Quality Improvement
  • Addiction Medicine

Background:

  • Opioid dependence affected nearly 1% of the U.S. population in 2015.
  • Opioid overdose is a leading cause of accidental death, linked to increased opioid prescribing.
  • Reducing opioid prescriptions may decrease addiction and overdose fatalities.

Purpose of the Study:

  • To pilot an evidence-based quality improvement project to reduce opioid prescribing.
  • To assess the impact of an opioid prescribing guideline on prescription rates.

Main Methods:

  • An evidence-based opioid prescribing guideline was implemented in four urgent care clinics.
  • Opioid prescribing data from a state prescription drug-monitoring program (PDMP) were analyzed.
  • Prescribing rates were compared before and after guideline implementation.

Main Results:

  • A statistically significant decline in opioid prescribing rates was observed (P < 0.05).
  • On average, providers wrote 2.43 fewer opioid prescriptions per week post-guideline.
  • Average weekly prescriptions decreased from 7.64 to 5.21 per provider.

Conclusions:

  • A simple opioid prescribing guideline, coupled with monitoring, can effectively reduce suboptimal prescribing.
  • This intervention can decrease the community's overall volume of prescribed opioids.
  • Reducing opioid availability may mitigate diversion, abuse, and addiction rates.