2024
Drivers of Variation in Opioid Prescribing after Common Surgical Procedures in a Large Multihospital Healthcare System
Zanocco K, Romanelli R, Meeker D, Mariano L, Shenoy R, Wagner Z, Kirkegaard A, Mudiganti S, Martinez M, Watkins K. Drivers of Variation in Opioid Prescribing after Common Surgical Procedures in a Large Multihospital Healthcare System. Journal Of The American College Of Surgeons 2024, 239: 242-252. PMID: 38690834, PMCID: PMC11321601, DOI: 10.1097/xcs.0000000000001095.Peer-Reviewed Original ResearchElectronic health recordsMultihospital healthcare systemOpioid prescribingHealthcare systemNon-Hispanic black raceMorphine milligram equivalentsPrimary care providersReducing postoperative opioid prescribingOpioid prescribing practicesInfluence pain levelsRandom-effects modelCare providersPatient safetyHealth recordsProvider levelInsurance statusMisuse of prescription opioidsPostoperative opioid prescribingPatient racePrescribing behaviorPrescribing variationGuideline recommendationsPrescribing practicesTargeted prescribingMedicare insurance
2014
Nudging Physician Prescription Decisions by Partitioning the Order Set: Results of a Vignette-Based Study
Tannenbaum D, Doctor J, Persell S, Friedberg M, Meeker D, Friesema E, Goldstein N, Linder J, Fox C. Nudging Physician Prescription Decisions by Partitioning the Order Set: Results of a Vignette-Based Study. Journal Of General Internal Medicine 2014, 30: 298-304. PMID: 25394536, PMCID: PMC4351289, DOI: 10.1007/s11606-014-3051-2.Peer-Reviewed Original ResearchConceptsEHR order setsPrimary care providersElectronic health recordsNarrow-spectrum antibioticsOrder setsTreatment menuTreatment choiceCare providersMain MeasuresThe main outcomeAggressive treatment optionsAcute respiratory infectionsPhysician prescription decisionsBroad-spectrum antibioticsRespiratory infectionsPrescribing practicesCounter medicationsTreatment optionsPrescription decisionsMAIN OUTCOMEPatient careTypical signsBackgroundHealthcare professionalsPrescription drugsProvider decisionsAggressive options