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 insurancePeer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions
Wagner Z, Kirkegaard A, Mariano L, Doctor J, Yan X, Persell S, Goldstein N, Fox C, Brummett C, Romanelli R, Bouskill K, Martinez M, Zanocco K, Meeker D, Mudiganti S, Waljee J, Watkins K. Peer Comparison or Guideline-Based Feedback and Postsurgery Opioid Prescriptions. JAMA Health Forum 2024, 5: e240077. PMID: 38488780, PMCID: PMC10943416, DOI: 10.1001/jamahealthforum.2024.0077.Peer-Reviewed Original ResearchConceptsCluster randomized clinical trialPeer comparison interventionOpioid prescribingEmail feedbackGuideline interventionComparison interventionIntervention periodHealth care delivery systemRandomized clinical trialsOpioid prescriptionsCare delivery systemPeer comparisonExcessive opioid prescribingSocial norm-based interventionsControl groupIntervention monthsMain OutcomesQuantity of opioidsClinical trialsDischarged patientsPeer surgeonsPrescribingOpioid misuseInterventionSurgical specialties
2022
A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions
Brown T, Zelch B, Lee J, Doctor J, Linder J, Sullivan M, Goldstein N, Rowe T, Meeker D, Knight T, Friedberg M, Persell S. A Qualitative Description of Clinician Free-Text Rationales Entered within Accountable Justification Interventions. Applied Clinical Informatics 2022, 13: 820-827. PMID: 36070799, PMCID: PMC9451951, DOI: 10.1055/s-0042-1756366.Peer-Reviewed Original ResearchConceptsClinical content areasClinical appropriatenessClinical decision support alertsPrimary care physiciansDecision support alertsAppropriate clinical decisionsUnique cliniciansOpioid prescribingCare physiciansClinical detailsAccountable justificationCDS alertsPilot interventionClinical decisionClinical casesCliniciansParticular diagnosisOlder adultsInterventionPhysiciansDelphi techniquePolypharmacyPrescribingPatientsSymptoms
2021
The protocol of the Application of Economics & Social psychology to improve Opioid Prescribing Safety trial 2 (AESOPS-2): Availability of opioid harm
Kelley M, Persell S, Linder J, Friedberg M, Meeker D, Fox C, Goldstein N, Knight T, Zein D, Sullivan M, Doctor J. The protocol of the Application of Economics & Social psychology to improve Opioid Prescribing Safety trial 2 (AESOPS-2): Availability of opioid harm. Contemporary Clinical Trials 2021, 112: 106650. PMID: 34896295, PMCID: PMC8869359, DOI: 10.1016/j.cct.2021.106650.Peer-Reviewed Original ResearchConceptsProportion of patientsOpioid-related overdosesOpioid prescribingOpioid-related harmsOpioid use disorderTrial 2Mixed effects regression modelsHarmful patient outcomesDaily MMEMorphine equivalentsPatient overdoseUsual careOpioid usePrimary outcomePrescriber awarenessOpioid harmsPrescribing SafetyPrevention recommendationsIntervention groupPatient outcomesOpioid overdosesUse disordersTreat differencesDisease controlAdditional outcomesThe protocol of the Application of Economics & Social psychology to improve Opioid Prescribing Safety Trial 1 (AESOPS-1): Electronic health record nudges
Kelley M, Persell S, Linder J, Friedberg M, Meeker D, Fox C, Goldstein N, Knight T, Zein D, Rowe T, Sullivan M, Doctor J. The protocol of the Application of Economics & Social psychology to improve Opioid Prescribing Safety Trial 1 (AESOPS-1): Electronic health record nudges. Contemporary Clinical Trials 2021, 103: 106329. PMID: 33636344, PMCID: PMC8089040, DOI: 10.1016/j.cct.2021.106329.Peer-Reviewed Original ResearchConceptsEHR-based interventionsElectronic health recordsPrimary careLong-term opioid useHigh-risk prescriptionsProportion of patientsPrimary care clinicsTrial 1Mixed-effects regression modelsPersistence of effectsDaily MMEMorphine equivalentsNoncancer painLack of evidenceOpioid prescribingOpioid useSecondary outcomesDaily dosePrimary outcomeCare clinicsIntervention armPrescribing SafetyClinical guidelinesControl armIntervention period