Effect of a Data-driven Intervention on Opioid Prescribing Intensity Among Emergency Department Providers: A Randomized Controlled Trial

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Sean S MichaelMartin A Reznek

Abstract

Little is known about accuracy of provider self-perception of opioid prescribing. We hypothesized that an intervention asking emergency department (ED) providers to self-identify their opioid prescribing practices compared to group norms-and subsequently providing them with their actual prescribing data-would alter future prescribing compared to controls. This was a prospective, multicenter randomized trial in which all attending physicians, residents, and advanced practice providers at four EDs were randomly assigned either to no intervention or to a brief data-driven intervention during which providers were: 1) asked to self-identify and explicitly report to research staff their perceived opioid prescribing in comparison to their peers and 2) then given their actual data with peer group norms for comparison. Our primary outcome was the change in each provider's proportion of patients discharged with an opioid prescription at 6 and 12 months. Secondary outcomes were opioid prescriptions per hundred total prescriptions and normalized morphine milligram equivalents prescribed. Our primary comparison stratified intervention providers by those who underestimated their prescribing and those who did not underestimate their prescribi...Continue Reading

References

Jul 26, 2000·Journal of Personality and Social Psychology·D Albarracín, R S Wyer
Oct 23, 2002·Medical Education·R B HaysJ-J Rethans
Oct 1, 1962·Scientific American·L FESTINGER
Mar 25, 2004·Annals of Emergency Medicine·Joshua H Tamayo-SarverDavid W Baker
Dec 13, 2006·The Journal of Pain : Official Journal of the American Pain Society·Mara McErleanAmy Young
Aug 5, 2008·American Journal of Infection Control·Ruth M SladekPaddy A Phillips
Apr 7, 2011·JAMA : the Journal of the American Medical Association·Amy S B BohnertFrederic C Blow
Sep 27, 2012·Annals of Emergency Medicine·Stephen V CantrillUNKNOWN American College of Emergency Physicians Opioid Guideline Writing Panel
Oct 26, 2012·The New England Journal of Medicine·Anna Lembke
Mar 14, 2013·British Journal of Health Psychology·Tanya Freijy, Emily J Kothe
Apr 2, 2013·Annals of Emergency Medicine·Scott G WeinerLewis S Nelson
Apr 25, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Austin S KilaruZachary F Meisel
Jul 31, 2014·Population Health Management·Roxanne MeyerSamir H Mody
Jul 15, 2015·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Chantelle WoodPaschal Sheeran
Feb 11, 2016·International Journal of Emergency Medicine·Geesje Van WoerdenM Christien Van Der Linden
Feb 15, 2016·Annals of Emergency Medicine·Megan M ButlerMichael S Lyons
Mar 18, 2016·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Deborah DowellRoger Chou
Jun 23, 2016·The Western Journal of Emergency Medicine·John H BurtonMichael Donato
Jul 18, 2016·Internal and Emergency Medicine·Peter B SmulowitzLiudvikas Jagminas
Aug 6, 2016·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Rachel S Wightman, Lewis S Nelson
Dec 14, 2016·The New England Journal of Medicine·Vivek H Murthy
Feb 16, 2017·The New England Journal of Medicine·Michael L BarnettAnupam B Jena
Feb 23, 2017·Pain Practice : the Official Journal of World Institute of Pain·Tatyana LyapustinaAndrea Gielen
Mar 17, 2017·MMWR. Morbidity and Mortality Weekly Report·Anuj ShahBradley C Martin
Apr 25, 2017·The Western Journal of Emergency Medicine·Robert I BroidaChristopher M Lloyd
May 11, 2017·The New England Journal of Medicine·Michael Menchine, Bory Kea
May 11, 2017·The New England Journal of Medicine·Michael L BarnettAnupam B Jena
May 12, 2017·The New England Journal of Medicine·Francesca L Beaudoin, Josiah D Rich
May 26, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Benjamin C SunK John McConnell
May 28, 2017·Annals of Emergency Medicine·Scott G WeinerJeremiah D Schuur
Jul 7, 2017·MMWR. Morbidity and Mortality Weekly Report·Gery P GuyDeborah Dowell

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Citations

Mar 3, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Geoffrey P Hays, Mark B Mycyk
Nov 20, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Danielle M McCarthyMichael S Wolf
Dec 18, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Brian Suffoletto, Aaron Landau
Dec 6, 2019·Nature Reviews. Rheumatology·Alexis Ogdie, David A Asch
Apr 3, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Nathalie DieujusteComilla Sasson
Jul 30, 2020·The Western Journal of Emergency Medicine·David A KimIan P Brown
Sep 7, 2019·Joint Commission Journal on Quality and Patient Safety·Jonathan W AndereckHoward S Kim
Nov 10, 2020·Health Affairs·Amol S NavatheEzekiel J Emanuel

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