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Electronic Intervention to Chronic Opioid Therapy

An Electronic Chart Intervention to Improve Safety for Patients on Chronic Opioid Therapy

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04198961
Enrollment
43
Registered
2019-12-13
Start date
2020-06-17
Completion date
2021-06-17
Last updated
2021-11-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Opioid Therapy

Brief summary

This pilot study will attempt to apply an electronic chart intervention to improve safety for patients on chronic opioid medications.

Interventions

OTHERopioid prescribing

Individualized taper and safety recommendations will be communicated to prescribers via an electronic medical record encrypted message.

Sponsors

Stanford University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Change in the number of patients who receives naloxone prescriptionbaseline, 1, 3- and 6-months and 12 monthsChange in the number of patients who receives naloxone prescription
change of number of documentation about safety discussionsbaseline, 1, 3- and 6-months and 12 monthschange of number of documentation about safety discussions
change of number of order for urine toxicology screeningbaseline, 1, 3- and 6-months and 12 monthschange of number of order for urine toxicology screening
change of number of documentation of prescription drug monitoring program (CURES) resultsbaseline, 1, 3- and 6-months and 12 monthschange of number of documentation of prescription drug monitoring program (CURES) results
change of number of signed opioid informed consent formsbaseline, 1, 3- and 6-months and 12 monthschange of number of signed opioid informed consent forms

Secondary

MeasureTime frameDescription
Change in number of patients on long-term high risk doses of opioid pain medicationsbaseline, 1, 3- and 6-months and 12 monthsdecreases in daily dose of opioids and number of patients on opioids ≥ 90mg MEDD

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026