Duan, Lewei and Lee, Ming-Sum and Adams, John L and Sharp, Adam L and Doctor, Jason N (2022) Opioid and naloxone prescribing following insertion of prompts in the electronic health record to encourage compliance with California state opioid law. JAMA Network Open, 5, (5), e229723. doi: 10.1001/jamanetworkopen.2022.9723.
External website: https://jamanetwork.com/journals/jamanetworkopen/f...
Question: Does the extra barrier of using clinical decision support to accommodate state policy reduce opioid prescribing by clinicians?
Findings: In this cohort study of 6,515 clinicians serving 500,711 unique patients, the opioid prescribing rate decreased and naloxone order rate increased; all opioid prescribing measures also improved (ie, decreased concomitant muscle relaxants orders, initial and renewal opioid orders, and long-term high-dose orders) after the launch of electronic prompts.
Meaning: Findings of this study suggest that adding decision support prompts to the practitioner workflow that encourage safe prescribing habits can mitigate opioid overdose risks.
B Substances > Opioids (opiates) > Opioid product > Naloxone
E Concepts in biomedical areas > Medical substance > Prescription drug (medicine / medication)
G Health and disease > Substance use disorder > Drug use disorder > Drug intoxication > Poisoning (overdose)
J Health care, prevention, harm reduction and treatment > Health related issues > Health information and education
J Health care, prevention, harm reduction and treatment > Patient / client care management
VA Geographic area > United States
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