Defining optimal length of opioid pain medication prescription after common surgical procedures.

Rebecca E. Scully; Andrew J. Schoenfeld; Wei Jiang; Stuart Lipsitz; Muhammad Ali Chaudhary; Peter A. Learn; Tracey Koehlmoos; Adil H. Haider; Louis L. Nguyen

Study

Defining optimal length of opioid pain medication prescription after common surgical procedures.

October 18, 2017

Scully RE, Schoenfeld AJ, Jiang W, et al. JAMA Surg. 2018;153(1):37-43.

View more articles from the same authors.

This retrospective observational study found that the median duration of opioid prescription after routine surgical procedures ranged from 4–15 days overall. A significant proportion of these prescriptions were refilled, highlighting the risk of chronic use following the acute pain setting.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Incidence and predictors of opioid prescription at discharge after traumatic injury.

July 12, 2017

A target to achieve zero preventable trauma deaths through quality improvement.

April 25, 2018

The occurrence of potential patient safety events among trauma patients: are they random?

March 5, 2008

Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends.

August 22, 2012

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

July 13, 2011

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.

November 14, 2007

The frequency and significance of discrepancies in the surgical count.

August 27, 2008

The "July phenomenon": is trauma the exception?

October 14, 2009

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.

December 12, 2021

Patterns of communication breakdowns resulting in injury to surgical patients.

April 11, 2007

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

September 7, 2011

Retained guidewires in the Veterans Health Administration: getting to the root of the problem.

May 9, 2018

Nursing crew resource management: a follow-up report from the Veterans Health Administration.

March 13, 2013

Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.

January 30, 2019

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions.

August 24, 2016

Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.

February 20, 2013

25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.

May 1, 2013

Understanding diagnostic errors in medicine: a lesson from aviation.

June 21, 2006

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals.

April 15, 2015

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

March 16, 2011

Relationship between occurrence of surgical complications and hospital finances.

April 24, 2013

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.

October 16, 2019

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

May 26, 2010

Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.

May 9, 2018

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.

November 25, 2015

Readiness of US general surgery residents for independent practice.

October 4, 2017

Simulation-based trial of surgical-crisis checklists.

January 30, 2013

A concept analysis of situational awareness in nursing.

April 17, 2013

Bar-coding surgical sponges to improve safety: a randomized controlled trial.

April 23, 2008

Teamwork during resuscitation.

August 27, 2008

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

June 2, 2010

Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial.

October 25, 2017

Clinical perspective: creating an effective practice peer review process—a primer.

March 29, 2017

Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.

April 8, 2015

Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice.

March 31, 2021

Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.

May 11, 2016

Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.

November 5, 2014

Patient safety and systematic reviews: finding papers indexed in MEDLINE, EMBASE and CINAHL.

November 24, 2010

Medication safety in the operating room: literature and expert-based recommendations.

February 22, 2017

A surgical procedure grid for safety and operating room communication in multisite surgery.

January 31, 2018

Common patterns in 558 diagnostic radiology errors.

May 23, 2012

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes.

October 12, 2011

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Health information technology and hospital patient safety: a conceptual model to guide research.

August 28, 2013

The growth of rapid response systems.

August 13, 2008

Improving patient safety and optimizing nursing teamwork using crew resource management techniques.

March 14, 2012

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

Teamwork behaviours and errors during neonatal resuscitation.

March 24, 2010

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

Relationship between operating room teamwork, contextual factors, and safety checklist performance.

August 31, 2016

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA.

October 15, 2014

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

August 31, 2016

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.

December 11, 2013

The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.

December 6, 2017

Delays in care during the COVID-19 pandemic in the Veterans Health Administration.

May 3, 2023

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature.

November 25, 2015

Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi.

July 15, 2009

Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives.

March 2, 2011

Improving patient safety and uniformity of care by a standardized regimen for the use of oxytocin.

April 9, 2008

Effectiveness of written hospitalist sign-outs in answering overnight inquiries.

November 20, 2013

Curriculum development and implementation of a national interprofessional fellowship in patient safety.

September 5, 2018

Evaluation of wound photography for remote postoperative assessment of surgical site infections.

November 7, 2018

A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.

November 28, 2018

Fall prevention in acute care hospitals: a randomized trial.

November 10, 2010

What do patients think about year-end resident continuity clinic handoffs?: a qualitative study.

May 22, 2013

Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.

August 16, 2017

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

February 13, 2013

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.

October 19, 2016

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.

July 23, 2014

The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial.

April 11, 2018

Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences.

October 10, 2018

The weekend effect in hospitalized patients: a meta-analysis.

October 11, 2017

What and when to debrief: a scoping review examining interprofessional clinical debriefing.

January 24, 2024

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

July 28, 2010

Computerized triggers of big data to detect delays in follow-up of chest imaging results.

September 28, 2016

Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.

November 29, 2017

A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients.

January 21, 2015

Measurement for improvement: a survey of current practice in Australian public hospitals.

July 23, 2008

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Medication safety initiative in reducing medication errors.

July 7, 2010

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration.

November 17, 2021

Variation in caregiver perceptions of teamwork climate in labor and delivery units.

July 5, 2006

Implementing an error disclosure coaching model: a multicenter case study.

February 22, 2017

Mortality trends after a voluntary checklist-based surgical safety collaborative.

May 3, 2017

Cognitive error in an academic emergency department.

October 10, 2018

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

April 29, 2009

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.

February 12, 2014

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

November 10, 2010

Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates.

July 13, 2016

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.

April 13, 2016

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

June 8, 2011

Trends in primary care clinician perceptions of a new electronic health record.

February 11, 2009

A call to excellence.

March 6, 2005

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Related Resources

Factors associated with diagnostic error: an analysis of closed medical malpractice claims.

April 19, 2023

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

The incidence of opioid misuse among the surgical patients with persistent opioid use.

February 8, 2023

Inappropriate prescribing of opioids for patients undergoing surgery.

December 21, 2022

Nonopioid directives: unintended consequences in the operating room.

June 29, 2022

Intraoperative deaths: who, why, and can we prevent them?

March 9, 2022

Association of opioid consumption profiles after hospitalization with risk of adverse health care events.

June 2, 2021

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

March 10, 2021

Technology, Education and Safety.

December 2, 2020

A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales.

November 11, 2020

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

WebM&M Cases

Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia

July 29, 2020

Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017

June 10, 2020

Association of state opioid duration limits with postoperative opioid prescribing.

January 29, 2020

When a vital sign leads a country astray—the opioid epidemic.

September 4, 2019

Doctors can change opioid prescribing habits, but progress comes in small doses.

August 28, 2019

Analysis of human performance deficiencies associated with surgical adverse events.

August 14, 2019

Surgeons' opioid-prescribing habits are hard to kick.

July 10, 2019

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults.

March 13, 2019

Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products.

March 6, 2019

Prevention of prescription opioid misuse and projected overdose deaths in the United States.

February 13, 2019

Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016.

October 10, 2018

Interventions for postsurgical opioid prescribing: a systematic review.

September 19, 2018

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty.

September 12, 2018

Association of hydrocodone schedule change with opioid prescriptions following surgery.

September 5, 2018

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.

September 5, 2018

Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system.

June 20, 2018

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.

May 16, 2018

See More About The Topic

Operating Room

Health Care Providers

Surgery

Opiates/Narcotics

Epidemiology of Errors and Adverse Events

Defining optimal length of opioid pain medication prescription after common surgical procedures.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Defining optimal length of opioid pain medication prescription after common surgical procedures.

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