Chronic Opioid Therapy
Conditions
Brief summary
This pilot study will attempt to apply an electronic chart intervention to improve safety for patients on chronic opioid medications.
Interventions
Individualized taper and safety recommendations will be communicated to prescribers via an electronic medical record encrypted message.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients prescribed long-term opioid therapy of doses greater than 90 morphine equivalent daily dose (MEDD)
Exclusion criteria
* Patients prescribed short-term opioid medications for acute pain (less than a 90-day supply over the past 120 days), sublingual buprenorphine, methadone maintenance for opioid use disorder or with oncology or palliative care diagnoses will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the number of patients who receives naloxone prescription | baseline, 1, 3- and 6-months and 12 months | Change in the number of patients who receives naloxone prescription |
| change of number of documentation about safety discussions | baseline, 1, 3- and 6-months and 12 months | change of number of documentation about safety discussions |
| change of number of order for urine toxicology screening | baseline, 1, 3- and 6-months and 12 months | change of number of order for urine toxicology screening |
| change of number of documentation of prescription drug monitoring program (CURES) results | baseline, 1, 3- and 6-months and 12 months | change of number of documentation of prescription drug monitoring program (CURES) results |
| change of number of signed opioid informed consent forms | baseline, 1, 3- and 6-months and 12 months | change of number of signed opioid informed consent forms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in number of patients on long-term high risk doses of opioid pain medications | baseline, 1, 3- and 6-months and 12 months | decreases in daily dose of opioids and number of patients on opioids ≥ 90mg MEDD |
Countries
United States