Discrepancies in Written Versus Calculated Durations in Opioid Prescriptions: Pre-Post Study

Autor: Benjamin H, Slovis, John, Kairys, Bracken, Babula, Melanie, Girondo, Cara, Martino, Lindsey M, Roke, Jeffrey, Riggio
Rok vydání: 2019
Předmět:
Zdroj: JMIR Medical Informatics
ISSN: 2291-9694
Popis: Background The United States is in the midst of an opioid epidemic. Long-term use of opioid medications is associated with an increased risk of dependence. The US Centers for Disease Control and Prevention makes specific recommendations regarding opioid prescribing, including that prescription quantities should not exceed the intended duration of treatment. Objective The purpose of this study was to determine if opioid prescription quantities written at our institution exceed intended duration of treatment and whether enhancements to our electronic health record system improved any discrepancies. Methods We examined the opioid prescriptions written at our institution for a 22-month period. We examined the duration of treatment documented in the prescription itself and calculated a duration based on the quantity of tablets and doses per day. We determined whether requiring documentation of the prescription duration affected these outcomes. Results We reviewed 72,314 opioid prescriptions, of which 16.96% had a calculated duration that was greater than what was documented in the prescription. Making the duration a required field significantly reduced this discrepancy (17.95% vs 16.21%, P
Databáze: OpenAIRE