Related Experiment Video
Updated: Aug 29, 2025
09:38
Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
12.8K
PRescribing Interventions for Chronic pain using the Electronic health record (PRINCE): Study protocol
David M Vock1, Hannah T Neprash2, Alexandra V Hanson3
1Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Contemporary Clinical Trials
|September 3, 2022
Summary
The PRINCE study tested electronic health record (EHR) interventions to improve pain management. Behavioral nudges and integrated prescription drug monitoring programs (PDMPs) aimed to reduce opioid prescribing and encourage guideline-concordant care.
Area of Science:
- Health Services Research
- Clinical Informatics
- Behavioral Economics
Background:
- Primary care settings are central to pain management and opioid prescribing.
- Opioid prescribing practices require optimization to align with clinical guidelines.
Purpose of the Study:
- To evaluate two electronic health record (EHR)-embedded interventions designed to improve guideline-concordant pain treatment and opioid prescribing.
- To assess the impact of behavioral economics principles within the EHR on clinical decision-making for pain management.
Main Methods:
- A cluster-randomized 2x2 factorial design was employed across 43 primary care clinics.
- Interventions included altering EHR choice architecture to promote non-opioid alternatives and opioid tapering, and integrating prescription drug monitoring programs (PDMPs).
- An adaptive design allowed for secondary randomization to test intervention titration.
Main Results:
- The study assessed opioid prescribing for opioid-naïve patients and opioid tapering for current users as primary outcomes.
- Real-world evidence was gathered on the effectiveness of EHR-based strategies in primary care.
Conclusions:
- The PRINCE study provides crucial data on EHR-driven interventions for optimizing pain treatment and opioid prescribing.
- The adaptive design balances efficacy assessment with testing intervention intensity variations.
Related Concept Videos
01:30Methods of Documentation VII: EMR
893
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
893
01:25Analgesia and Pain Management
764
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...
764
01:26Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
01:18Guidelines and Strategies for Safe Computer Charting
863
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
863
01:03Nursing Interventions I: Taxonomy of Nursing Interventions
2.8K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
2.8K
01:06Legal Guidelines for Documentation
1.4K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.4K