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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
484
New medication discharge order set including recommended opioid quantities, adjunct pain medication
University of Washington
Seattle, Washington, United States
Total Discharge Opioid Burden
Morphine milligram equivalents in the initial discharge prescription after index surgery
Time frame: Immediately after study intervention
Additional Opioid Burden within 30 days
Morphine milligram equivalents on any additional opioid prescription within 30 days of discharge
Time frame: Within 30 Days
Proportion of cases with Phone Calls to Surgery Department
Phone calls to surgery department within 30 days of discharge
Time frame: Within 30 Days
Proportion of Cases with Emergency Room Visits
ER visits within 30 days of discharge
Time frame: Within 30 Days
Proportion of Cases with Hospital Readmissions to a Surgical Service
Readmissions to surgical service within 30 days of discharge
Time frame: Within 30 Days
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