Electronic Defaults to Reduce Opioid Prescribing in Emergency Department and Primary Care Settings

Montefiore Medical Center15,000 enrolled

Overview

The goal of this research is to investigate the impact of changing opioid analgesic prescribing defaults on the quantity of opioids prescribed for acute non-cancer pain in adult primary care and emergency department settings. We will change prescribing defaults for select short-acting opioid analgesics including immediate release oxycodone and hydrocodone as well as codeine and tramadol, including their co-formulations with acetaminophen. In a cluster-randomized trial of matched pairs of Montefiore Medical Center clinical sites, stratified by specialty and teaching status, we will evaluate the impact of this intervention on patient-level outcomes using 18 months of data (6 months pre-intervention and 12 months post-intervention).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

15,000

Conditions

Acute Pain

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Clinical Site Inclusion Criteria: * Primary care clinic (internal medicine, family medicine, or urgent care) or emergency department within Montefiore Medical Center Patient Inclusion Criteria: * Received a new opioid analgesic prescription, defined as no opioid analgesic prescription in the preceding 6 months Patient Exclusion Criteria: * Cancer diagnosis code within the past 1 year