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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 4/2018

01-04-2018 | Concise Research Report

Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities and Prescribing Behavior in Two Emergency Departments

Authors: M. Kit Delgado, MD, MS, FACEP, Frances S. Shofer, PhD, Mitesh S. Patel, MD, MBA, MS, Scott Halpern, MD, PhD, Christopher Edwards, MD, Zachary F. Meisel, MD, MSHP, Jeanmarie Perrone, MD

Published in: Journal of General Internal Medicine | Issue 4/2018

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Excerpt

Larger quantities of opioid tablets for initial prescriptions are associated with transition to continued use.1 Default options, or conditions that are set in place unless an alternative is actively chosen, have been shown to influence behavior in many contexts, including increasing the rates of prescribing generic versus brand-name drugs to over 98% in primary care.2,3 Leveraging default options in electronic medical record (EMR) prescribing orders thus represents a promising approach to guide clinicians towards prescribing smaller quantities of opioid tablets, thus reducing continued use, misuse, and diversion. …
Literature
1.
2.
Halpern SD, Ubel PA, Asch DA. Harnessing the power of default options to improve health care. N Engl J Med 2007;357(13):1340.CrossRefPubMed
3.
Patel MS, Day SC, Halpern SD, Hanson WC, Martinez JR, Honeywell S, Volpp KG. Generic medication prescription rates after health system-wide redesign of default options within the electronic health record. JAMA Intern Med. 2016;176(6):847–8.
4.
Weiner SG, Baker O, Poon SJ, Rodgers AF, Garner C, Nelson LS, Schuur J. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. Ann Emerg Med. 2017;70(6):799–808.
5.
Zwank MD, Kennedy SM, Stuck LH, Gordon BD. Removing default dispense quantity from opioid prescriptions in the electronic medical record. Am J Emerg Med. 2017;35(10):1567–69.
Metadata
Title
Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities and Prescribing Behavior in Two Emergency Departments
Authors
M. Kit Delgado, MD, MS, FACEP
Frances S. Shofer, PhD
Mitesh S. Patel, MD, MBA, MS
Scott Halpern, MD, PhD
Christopher Edwards, MD
Zachary F. Meisel, MD, MSHP
Jeanmarie Perrone, MD
Publication date
01-04-2018
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 4/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-017-4286-5

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