Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

1.3K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
1.3K
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

754
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
754
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

1.1K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.1K
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

649
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
649
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.8K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.8K
Nursing Clinical Information System01:27

Nursing Clinical Information System

1.1K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Generalized Sensory Sensitivity for Prediction of Post-Surgical Analgesic Outcomes: An Observational Cohort Study of Total Hip Arthroplasty and Hysterectomy.

medRxiv : the preprint server for health sciences·2026
Same author

US multicentre randomised controlled trial protocol: Comparing Analgesic Regimen Effectiveness and Safety after surgery trial for Kids (CARES for Kids).

BMJ open·2026
Same author

Clinical Decision Support to Reduce Opioid Prescribing at Discharge for Inpatients Undergoing Surgery (LESS Study): An Interrupted Time Series Analysis.

Anesthesiology·2026
Same author

High-Risk Substance and Polysubstance Use Among Elective Surgery Patients: Prevalence and Risk Factors.

Journal of the American College of Surgeons·2026
Same author

Opioid prescribing for tooth extraction in the United States, 2021 through 2023.

Journal of the American Dental Association (1939)·2026
Same author

Two-part Statistical Model for Identifying Baseline Predictors of Chronic Postsurgical Pain.

Anesthesiology·2026

Related Experiment Video

Updated: Dec 8, 2025

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
12:20

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior

Published on: June 10, 2013

21.6K

Assessment of a quality improvement intervention to decrease opioid prescribing in a regional health system.

Craig S Brown1,2, Joceline V Vu3,2, Ryan A Howard3,2

  • 1Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA brcraig@med.umich.edu.

BMJ Quality & Safety
|September 17, 2020
PubMed
Summary
This summary is machine-generated.

Implementing opioid prescribing guidelines significantly reduced postoperative opioid prescriptions by 50% without affecting patient pain control or satisfaction. This quality improvement initiative demonstrates effective use of a health collaborative for better opioid stewardship.

Keywords:
clinical practice guidelinescontinuous quality improvementhealth policypatient satisfactionquality improvement

More Related Videos

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.5K
Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

19.2K

Related Experiment Videos

Last Updated: Dec 8, 2025

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
12:20

Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior

Published on: June 10, 2013

21.6K
The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.5K
Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

19.2K

Area of Science:

  • Health Services Research
  • Surgical Quality Improvement
  • Pain Management

Background:

  • Postoperative opioid prescribing is often excessive.
  • A continuous quality improvement infrastructure was used to implement opioid prescribing guidelines.
  • The study evaluated changes in opioid prescribing, consumption, and patient outcomes.

Purpose of the Study:

  • To assess the impact of implementing opioid prescribing guidelines on postoperative opioid use.
  • To evaluate changes in patient-reported pain and satisfaction following guideline implementation.
  • To demonstrate the effectiveness of a regional health collaborative in quality improvement.

Main Methods:

  • Data collected from February 2017 to May 2019 from a 70-hospital surgical collaborative.
  • Three iterations of opioid prescribing guidelines were released.
  • Interrupted time series analysis and linear regression were used to analyze trends in prescribing, consumption, and patient-reported outcomes.

Main Results:

  • Mean prescription size decreased from 25 to 12 tablets of 5 mg oxycodone.
  • Opioid consumption decreased from 11 to 5 tablets.
  • Patient satisfaction and postoperative pain levels remained unchanged.

Conclusions:

  • Procedure-specific prescribing guidelines reduced statewide postoperative opioid prescribing by 50%.
  • Satisfactory pain care was maintained.
  • This initiative highlights successful quality improvement through a regional health collaborative.