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01-04-2020 | Opioids | Concise Research Report

A Multi-year Analysis of Decision Fatigue in Opioid Prescribing

Authors: Jordan Hughes, BA, Jerzy Lysikowski, PhD, Rabina Acharya, MPH, Eleanor Phelps, RN, Enas Kandil, MD MSc

Published in: Journal of General Internal Medicine | Issue 4/2020

Excerpt

Decision fatigue is a psychological phenomenon describing how people can, when making a series of decisions, deplete their mental resources over time and unknowingly attempt to reduce their cognitive burden by favoring the status quo—the cognitively “easier” choice.¹ Every day, primary care physicians (PCPs) make myriad decisions which subject them to such mental depletion. As one study of the phenomenon in primary care concludes, “decision fatigue progressively impairs clinicians’ ability to resist ordering inappropriate treatments.”² …

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Linder JA, Doctor JN, Friedberg MW, et al. Time of Day and the Decision to Prescribe Antibiotics. JAMA Intern Med 2014;174(12):2029–2031. doi:https://doi.org/10.1001/jamainternmed.2014.5225 CrossRefPubMedPubMedCentral

What is the U.S. Opioid Epidemic? U.S. Department of Health and Human Services. https://www.hhs.gov/opioids/about-the-epidemic/. Last reviewed January 22, 2019. Accessed 4 March 2019.

Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use — United States, 2006–2015. MMWR Morb Mortal Wkly Rep 2017;66:265–269. doi:https://doi.org/10.15585/mmwr.mm6610a1 CrossRefPubMedPubMedCentral

Bohnert ASB, Valenstein M, Bair MJ, et al. Association Between Opioid Prescribing Patterns and Opioid Overdose-Related Deaths. JAMA 2011;305(13):1315–1321. doi:https://doi.org/10.1001/jama.2011.370 CrossRefPubMed

Philpot, LM, Khokhar BA, Roellinger DL, et al. Time of Day is Associated with Opioid Prescribing for Low Back Pain in Primary Care. J Gen Intern Med 2018;33(11):1828–1830. doi:https://doi.org/10.1007/s11606-018-4521-8 CrossRefPubMedPubMedCentral

Title: A Multi-year Analysis of Decision Fatigue in Opioid Prescribing
Authors: Jordan Hughes, BA
Jerzy Lysikowski, PhD
Rabina Acharya, MPH
Eleanor Phelps, RN
Enas Kandil, MD MSc
Publication date: 01-04-2020
Publisher: Springer International Publishing
Keywords: Opioids
Opioids
Fatigue
Published in: Journal of General Internal Medicine / Issue 4/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-019-05217-x

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