Reducing postoperative opioid pill prescribing via a quality improvement approach.
Kristian D StenslandPeter ChangDavid JiangDavid CanesAaron BerkenwaldAdrian WaismanKortney RobinsonGabriel BratCatrina CrocianiKyle McanallySarah HydeBrian HollidayJodi MechaberAnalesa BarakaAlireza MoinzadehAndrew A WagnerPublished in: International journal for quality in health care : journal of the International Society for Quality in Health Care (2021)
Our PDSA-like approach led to an acceptable protocol revision resulting in significant reductions in excess pills released into the community. Reducing the quantity of opioids prescribed postoperatively does not increase the percentage of patients taking zero pills postdischarge. To eliminate opioid use may require no-opioid pathways. Our approach can be used in implementing zero opioid discharge plans and can be applied to opioid reduction interventions at other institutions where barriers to reduced prescribing exist.
Keyphrases
- chronic pain
- pain management
- primary care
- end stage renal disease
- ejection fraction
- newly diagnosed
- randomized controlled trial
- total knee arthroplasty
- chronic kidney disease
- patients undergoing
- healthcare
- prognostic factors
- adverse drug
- health insurance
- emergency department
- patient reported outcomes
- electronic health record