Assessment of a quality improvement intervention to decrease opioid prescribing in a regional health system.

ABSTRACT:

Background

Opioids are prescribed in excess after surgery. We leveraged our continuous quality improvement infrastructure to implement opioid prescribing guidelines and subsequently evaluate changes in postoperative opioid prescribing, consumption and patient satisfaction/pain in a statewide regional health system.

Methods

We collected data regarding postoperative prescription size, opioid consumption and patient-reported outcomes from February 2017 to May 2019, from a 70-hospital surgical collaborative. Three iterations of prescribing guidelines were released. An interrupted time series analysis before and after each guideline release was performed. Linear regression was used to identify trends in consumption and patient-reported outcomes over time.

Results

We includ

SUBMITTER: Brown CS 

PROVIDER: S-EPMC8056599 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature