The effect of clinician feedback interventions on opioid prescribing.

Amol S. Navathe; Joshua M. Liao; Xiaowei S Yan; M. Kit Delgado; William M Isenberg; Howard M Landa; Barbara L Bond; Dylan S. Small; Charles A. L Rareshide; Zijun Shen; Rebecca S Pepe; Farah Refai; Victor J Lei; Kevin G. Volpp; Mitesh S. Patel

Study

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Navathe AS, Liao JM, Yan XS, et al. Health Aff (Millwood). 2022;41(3):424-433.

View more articles from the same authors.

Opioid overdose and misuse continues to be a major public health concern with numerous policy- and organization-level approaches to encourage appropriate clinician prescribing. A northern California health system studied the effects of three interventions (individual audit feedback, peer comparison, both combined) as compared to usual care at several emergency department and urgent care sites. Peer comparison and the combined interventions resulted in a significant decrease in pills per prescription.

PubMed citation

Available at

Related Resources From the Same Author(s)

Speaking up about the dangers of the hidden curriculum.

January 22, 2014

Teaching hospital financial status and patient outcomes following ACGME duty hour reform.

September 26, 2012

CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain.

November 17, 2021

Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients.

January 14, 2015

Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.

April 20, 2022

Why the nation needs a policy push on patient-centered health care.

August 18, 2010

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

Adverse events and emergency department opioid prescriptions in adolescents.

June 30, 2021

The value from investments in health information technology at the U.S. Department of Veterans Affairs.

May 5, 2010

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities.

October 26, 2022

Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.

December 19, 2012

Children and the opioid epidemic: age-stratified exposures and harms.

October 21, 2020

Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19.

October 19, 2022

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.

December 12, 2012

Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system.

March 8, 2023

Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17.

October 20, 2021

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.

August 19, 2015

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates.

July 13, 2016

A health system that won't learn from its mistakes.

September 21, 2022

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.

January 23, 2013

Performance-based payment incentives increase burden and blame for hospital nurses.

February 16, 2011

As she lay dying: how I fought to stop medical errors from killing my mom.

December 12, 2012

Evidence of respiratory infection transmission within physician offices could inform outpatient infection control.

September 1, 2021

Survey shows that at least some physicians are not always open or honest with patients.

February 22, 2012

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.

April 27, 2011

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments.

February 7, 2018

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

The social cost of adverse medical events, and what we can do about it.

April 27, 2011

The working hours of hospital staff nurses and patient safety.

January 9, 2005

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

High nursing staff turnover in nursing homes offers important quality information.

March 10, 2021

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Changes in early high-risk opioid prescribing practices after policy interventions in Washington State.

October 28, 2020

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department.

September 8, 2021

Taking the pulse of health care systems: experiences of patients with health problems in six countries.

November 9, 2005

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.

November 14, 2007

Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence.

June 2, 2021

Understanding context specificity: the effect of contextual factors on clinical reasoning.

September 2, 2020

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.

July 28, 2021

Human factors and simulation in emergency medicine.

March 21, 2018

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency.

September 1, 2012

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020.

October 7, 2020

Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan.

January 27, 2021

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

June 22, 2022

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Impact of sleep deficiency on surgical performance: a prospective assessment.

April 19, 2023

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.

May 25, 2016

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments.

September 9, 2020

Racial differences in antibiotic prescribing by primary care pediatricians.

March 20, 2013

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.

July 18, 2012

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

Mitigating the July effect.

July 7, 2021

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

From implementation to sustainment: a large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration.

August 18, 2021

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist.

February 2, 2022

Diagnostic concordance among pathologists interpreting breast biopsy specimens.

March 25, 2015

Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.

December 23, 2020

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients.

July 1, 2009

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Deployment of a second victim peer support program: a replication study.

August 16, 2017

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.

January 11, 2023

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Related Resources

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.

June 28, 2023

Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics.

June 7, 2023

A critical appraisal of AHRQ's "Diagnostic Errors" report.

May 10, 2023

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.

May 3, 2023

Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review.

April 26, 2023

A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.

April 26, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.

March 1, 2023

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity.

February 15, 2023

Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses.

February 15, 2023

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?

February 8, 2023

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Diagnostic Errors in the Emergency Department: A Systematic Review.

December 21, 2022

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Inappropriate prescribing of opioids for patients undergoing surgery.

December 21, 2022

Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment.

December 14, 2022

Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation.

November 30, 2022

Human centered design workshops as a meta-solution to diagnostic disparities.

November 2, 2022

Diagnoses Without Names: Challenges for Medical Care, Research, and Policy.

October 12, 2022

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity.

July 6, 2022

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports.

May 18, 2022

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis.

February 23, 2022

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

See More About The Topic

Researchers

Emergency Departments

Ambulatory Clinic or Office

Quality and Safety Professionals

Medicine

The effect of clinician feedback interventions on opioid prescribing.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The effect of clinician feedback interventions on opioid prescribing.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site