NCT03003832

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

A Cluster-randomized Trial of Modifying Electronic Health Record Defaults to Reduce the Prescribed Quantity of Opioid Analgesics in Primary Care and Emergency Department Settings

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 15,000 (estimated)
• Sponsor: Montefiore Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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).

Conditions

• Acute Pain

Interventions

Type	Name	Description
OTHER	Change in electronic health record default for new opioid analgesic prescriptions

Timeline

• Start date: 2016-12-01
• Primary completion: 2018-07-13
• Completion: 2018-07-13
• First posted: 2016-12-28
• Last updated: 2018-08-14