Personalized feedback may reduce opioid prescribing rates, new study finds

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WASHINGTON, April 18, 2022 /PRNewswire/ — As drug overdose deaths hit an all-time high in 2021, opioid prescribing by physicians and clinicians declined dramatically in emergency departments that prioritized personalized peer-to-peer feedback , according to a new analysis published in Annals of Emergency Medicine.

Since January 2019 for July 2021opioid prescribing fell 35% among physicians and 41% among nurse practitioners and physician assistants, according to analysis of care teams from a group of physicians covering 102 emergency departments in 17 states.

“The impact of peer-to-peer feedback on opioid prescribing was immediate and profound,” said Jesse PinsMD, MBA, FACEP, National Director of Clinical Innovation at US Acute Care Solutions, Professor of Emergency Medicine at Drexel University and the lead author of the study. “Emergency physicians are leading efforts to change the culture of prescribing. Sometimes all it takes to make a meaningful change is a data-driven conversation that details the evidence behind the many non-opioid options that can achieve similar or even better pain control.”

The study entitled “Opioid Prescription Reduction After Implementation of a Feedback Program in a National Subset of Emergency Departments”, published in the May edition of Annals of Emergency Medicine is the largest known analysis of emergency clinician prescribing interventions to date. The authors assessed the impact of conversations between clinicians and site directors about rationale and prescribing patterns, education about using alternatives to opioids whenever possible, and program use. prescription drug management. Each conversation was personalized and informed by national data collected by the staffing group of participating clinicians.

According to the study, the decrease in opioid prescribing was evident in the most common diagnoses. The prescription of opioids for injury or poisoning decreased by 15%, while the prescription for symptoms of the disease fell by 25%, as did the prescription for respiratory diseases (40%), infections or parasites ( 54%), blood circulation problems (36%) and endocrine or nutritional disorders. problems (28%).

Although emergency departments are not a significant source of opioid prescriptions overall, emergency physicians continue to lead programs that reduce opioid prescribing and can be adapted by other healthcare professionals. health.

“This research offers clinicians and administrators a promising model for limiting opioid prescribing in a variety of different emergency settings,” said the study’s lead author. Jonathan Oskvarek, MD, MBA, emergency physician and innovation researcher at US Acute Care Solutions. “Emergency physicians set a good example for prescribers by prioritizing alternatives to opioids when available, a choice that goes a long way in preventing opioid overdoses.”

Annals of Emergency Medicine is one of the peer-reviewed scientific journals of the American College of Emergency Physicians (ACEP), the national medical society representing emergency medicine. Annals of Emergency Medicine is the largest and most frequently cited peer-reviewed journal in emergency medicine and publishes original research, clinical reports, opinions and educational information related to the practice, teaching and in emergency medicine research.

SOURCE American College of Emergency Physicians (ACEP)


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