Peer and Patient Feedback to Increase Adherence to Postoperative Opioid Prescribing Guidelines
JAMA Surgery
Authors
Anish K. Agarwal, MD, MPH, MS; Jeffrey P. Ebert, PhD; Ruiying Xiong, MS; Zarina S. Ali, MD, MS; Daniel Lee, MD; Frances Shofer, PhD; Yevgeniy Gitelman, MD; David Do, MD; Evan A. Spencer, MS; E. Madeline Grenader, BS; Fan Li, PhD; Michael O. Harhay, PhD, MPH; M. Kit Delgado, MD, MS
Question: Can providing peer prescribing comparisons and patient-reported outcomes related to pain increase surgical clinician adherence to opioid prescribing guidelines?
Results: In this stepped-wedge cluster randomized clinical trial that included 143 surgical clinicians treating 20 557 patients, the proportion of guideline-adherent prescriptions increased during the intervention period from 57.2% to 71.8%, with an adjusted absolute difference of 5.3%, while patients’ reported ability to manage pain remained unchanged.
