Opioid ordering habits in the acute emergency department visit: Before and after implementation of departmental prescribing guidelines.

ABSTRACT:

Objective

At our emergency department (ED), opioid prescribing guidelines were implemented in September 2016. The opioid prescribing guidelines were adopted and revised from collective efforts and advocacy of the Michigan College of Emergency Physicians for ED-led opioid stewardship. We performed a retrospective before and after study to determine if opioid prescribing guidelines would change the use of intravenous opioids per patient and the morphine equivalent units (MEU) per patient in a suburban academic ED.

Methods

A retrospective observational study was conducted at a tertiary care level 1 trauma center with an annual ED volume of ≈ 130,000 visits. All intravenous orders of fentanyl, morphine, and hydromorphone for adult patients from January 1, 2015, through December

SUBMITTER: Maloy JD 

PROVIDER: S-EPMC7771767 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature