Surgery
Conditions
Keywords
Surgery, Discharge, Hospital Systems, Electronic Medical Record, Opioids, Prescription
Brief summary
This is a prospective pilot trial to evaluate a new electronic medical record based intervention to improve discharges after surgery. The investigators hypothesize that standard discharge medications after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.
Detailed description
This is a 2-arm parallel randomized trial comparing a new electronic medical record (EMR)-based intervention to usual care after surgery. All patients will receive their usual peri- and intraoperative care. Then, upon discharge, their providers will see the new EMR-based discharge order set (intervention arm) or not (usual care). The investigators hypothesize that standard discharge medication order sets after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.
Interventions
BEHAVIORALElectronic Medical Record Based Discharge Medication Order Set
New medication discharge order set including recommended opioid quantities, adjunct pain medication
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
University of Washington
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
2 arm parallel, cluster-randomized trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients * Aged 18 and over * Undergo selected general surgical procedures
Exclusion criteria
* Less than 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Discharge Opioid Burden | Immediately after study intervention | Morphine milligram equivalents in the initial discharge prescription after index surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Additional Opioid Burden within 30 days | Within 30 Days | Morphine milligram equivalents on any additional opioid prescription within 30 days of discharge |
| Proportion of cases with Phone Calls to Surgery Department | Within 30 Days | Phone calls to surgery department within 30 days of discharge |
| Proportion of Cases with Emergency Room Visits | Within 30 Days | ER visits within 30 days of discharge |
| Proportion of Cases with Hospital Readmissions to a Surgical Service | Within 30 Days | Readmissions to surgical service within 30 days of discharge |
Countries
United States
Outcome results
None listed