Autor: |
Reinhorn, M., Dews, T., Warren, J. A., The Abdominal Core Health Quality Collaborative Opioid Task Force*, Higgins, Rana, Petro, Clayton, Perez, Arielle, Poulose, Benjamin, Rosen, Michael, Ott, Lauren, Harris, Todd, Goel, Amitabh, Potee, Ruth, Brummett, Chad, Hafner, Gordon, Iacco, Anthony |
Zdroj: |
Hernia; Jun2022, Vol. 26 Issue 3, p847-853, 7p |
Abstrakt: |
Purpose: Despite progress toward curtailing opioid prescribing, physicians are often slow to adopt new prescribing practices. Using the Abdominal Core Health Quality Collaborative (ACHQC), we aimed to demonstrate the ability of a national, disease-specific, personalized registry to impact opioid prescribing. Methods: Using a collaborative and iterative process, a module was developed to capture surgeon opioid prescribing, patient-reported consumption, and risk factors for opioid use. Study reported according to the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines. Results: Six months after implementation of the ACHQC opioid module, we assessed participation, prescribing and patient consumption patterns. For ventral hernia repair (VHR; n = 398), 23 surgeons reported prescribing > 20 pills (43%), 11–20 (40%), and < 10 (18%). In contrast, patients (n = 217) reported taking < 10 pills in 65% and only 20% reported taking > 15. For inguinal hernia repair (IHR; n = 443) 37 surgeons reported prescribing > 20 tablets (22%), 11–20 (32%), and < 10 (44%). Patients (n = 277) reported taking < 10 pills in 81% of cases, including 50% reporting zero, and only 13% taking > 15. We identified barriers to practice change and developed a strategy for education, provision of individualized data, and encouraging participation. Surgeon participation has since increased significantly (n = 65 for VHR; n = 53 for IHR), and analysis of the impact of this process is ongoing. Conclusion: Quality improvement requires physician engagement, which can be facilitated by meaningful and actionable data. The specificity of the ACHQC and the ability to provide surgeons with individualized data is a model method to incite change in physician behavior and improve patient outcomes. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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