Education works! A multilevel campaign that included departmental grand rounds, data review, circulation of journal papers that highlight the effects of opioid over-prescribing, visual display of individual clinician prescribing for comparison with peers, and academic detailing were used to focus on opioid overuse epidemic and opioid dependence in a recent study that examined the influence of this approach upon opioid prescribing activity by hundreds of clinicians involving over a million clinical encounters, measured using a health system’s electronic medical record. Morphine mg equivalent doses per encounter decreased 1.0 MME per encounter per month, and after the intervention the monthly MME per encounter was 58% lower than the average of the 6-month baseline, and the MME per opioid prescription per month was 34% less than the average of the baseline. The opioid prescription rate was 38% also lower than the average of the baseline. Details of this study can be read in the JAMA open network.
Physician education, academic detailing successfully reduces opioid use
Oct 5, 2018