According to a study published in the May issue of the Annals of Emergency Medicine, a significant and sustained reduction in opioid prescribing by emergency clinicians is possible with an intervention using direct, personalized feedback to clinicians and a scorecard. electronic board for comparison with peers.
Jonathan J. Oskvarek, MD, of Summa Health System in Akron, Ohio, and colleagues evaluated the effect of a personalized peer-to-peer feedback and comparison intervention on emergency clinicians’ opioid prescribing rates in a national group of emergency clinicians (comprising 924 physicians and 472 advanced practice providers). The data included 5.3 million discharges from 102 emergency departments in 17 states (January 1, 2019 through July 31, 2021).
The researchers found that opioid prescribing rates did not change significantly during the site-level manager feedback period, but during the direct clinician feedback period, opioid prescribing rates opioids went from 10.4 per 100 discharges to 8.4 per 100 discharges, a relative reduction of 19%. During the direct feedback period, among prescribers in the highest initial quintile, opioid prescribing dropped by 35% among physicians and 41% among advanced practice providers.
Summary of news:
- Opioid prescribing rates in EDs are reduced thanks to direct provider feedback
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