The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

Scott G. Weiner; Olesya Baker; Sabrina J. Poon; Ann F. Rodgers; Chad Garner; Lewis S. Nelson; Jeremiah D. Schuur

Study

The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

December 13, 2017

Weiner SG, Baker O, Poon SJ, et al. Ann Emerg Med. 2017;70(6):799-808.e1.

View more articles from the same authors.

This pre–post study examined the effect of a change in emergency department opioid prescribing guidelines in Ohio in 2012. The quantity of opioid prescriptions from emergency departments and the duration of opioid prescriptions declined. The authors attribute these declines to the more stringent prescribing guideline and advocate for spreading such policies to improve opioid safety.

PubMed citation

Available at

Related Resources From the Same Author(s)

Morbidity and mortality conference in emergency medicine residencies and the culture of safety.

December 9, 2015

Infection prevention in the emergency department.

November 12, 2014

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.

July 2, 2008

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Methodology and bias in assessing compliance with a surgical safety checklist.

February 13, 2013

The active components of effective training in obstetric emergencies.

June 10, 2009

Persistent opioid use among pediatric patients after surgery.

December 20, 2017

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

February 18, 2009

The meaning of justice in safety incident reporting.

November 7, 2007

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify patient harm in a specialized pediatric patient population.

May 14, 2014

Reduction in opioid prescribing through evidence-based prescribing guidelines.

December 20, 2017

Communication failures in the operating room: an observational classification of recurrent types and effects.

March 6, 2005

Duty-hours monitoring revisited: self-report may not be adequate.

June 19, 2013

Inaccuracy of ECG interpretations reported to the poison center.

March 23, 2011

Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey.

June 7, 2017

An educational intervention to enhance nurse leaders' perceptions of patient safety culture.

August 3, 2005

Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.

March 6, 2013

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 2021

Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room.

June 14, 2006

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children.

March 23, 2016

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Nurses' satisfaction with medication administration point-of-care technology.

September 5, 2007

Communication factors in the follow-up of abnormal mammograms.

March 6, 2005

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

October 19, 2005

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

June 13, 2012

"I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care.

April 3, 2005

Association of state opioid duration limits with postoperative opioid prescribing.

January 29, 2020

EMS helicopter crashes: what influences fatal outcome?

April 19, 2006

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Incidence of adverse drug events and potential adverse drug events: implications for prevention.

March 27, 2005

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life.

May 10, 2006

Framework for patient safety—part 1 and part 2.

November 9, 2011

Prevalence and nature of errors and near errors reported by hospital staff nurses.

March 6, 2005

Association of hydrocodone schedule change with opioid prescriptions following surgery.

September 5, 2018

Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.

August 22, 2012

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.

November 21, 2012

Procedural safety in emergency care: a conceptual model and recommendations.

October 24, 2012

Quantifying nursing workflow in medication administration.

January 9, 2008

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

Relationship of adverse events and support to RN burnout.

October 8, 2014

Opioid prescribing and potential overdose errors among children 0 to 36 months old.

June 17, 2015

Contextual errors in medical decision making: overlooked and understudied.

December 16, 2015

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

August 24, 2011

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

March 13, 2019

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

March 10, 2021

Characteristics of medical professional liability claims in patients with cardiovascular diseases.

April 21, 2010

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

October 23, 2013

Medication errors recovered by emergency department pharmacists.

July 14, 2010

Pharmacist linkage in care transitions: from academic medical center to community.

October 30, 2019

A health system–wide initiative to decrease opioid-related morbidity and mortality.

September 26, 2018

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

June 2, 2010

Creating a physician-led quality imperative.

December 10, 2014

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.

September 18, 2019

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

November 14, 2012

A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America.

July 19, 2023

Healthcare in a land called PeoplePower: nothing about me without me.

March 6, 2005

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

November 21, 2018

Enhancing medication use safety: benefits of learning from your peers.

October 21, 2009

September 2, 2009

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

December 5, 2007

Do patient safety indicators explain increased weekend mortality?

September 2, 2015

Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study.

March 8, 2006

Effects of critical care nurses' work hours on vigilance and patients' safety.

January 25, 2006

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review.

July 14, 2021

A safe practice standard for barcode technology.

June 3, 2015

Detection and prevention of medication errors using real-time bedside nurse charting.

August 31, 2005

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

Bedside shift report improves patient safety and nurse accountability.

July 28, 2010

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

February 11, 2009

Role of registered nurses in error prevention, discovery and correction.

April 16, 2008

Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure.

March 5, 2008

Tracing the foundations of a conceptual framework for a patient safety ontology.

September 22, 2010

The natural history of recovery for the healthcare provider "second victim" after adverse patient events.

October 21, 2009

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?

April 5, 2006

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.

October 14, 2015

The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources.

October 22, 2014

Impact of barcode medication administration technology on how nurses spend their time providing patient care.

January 7, 2009

The effect of emergency department boarding on order completion.

January 13, 2016

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

November 25, 2009

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

February 13, 2013

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

January 11, 2012

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

Understanding psychological safety in health care and education organizations: a comparative perspective.

March 16, 2016

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

August 17, 2011

Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions.

March 10, 2010

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

February 7, 2018

A prevalence study of errors in opioid prescribing in a large teaching hospital.

August 10, 2011

The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.

September 26, 2018

Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.

February 25, 2009

Evaluating situation awareness: an integrative review.

May 10, 2017

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

December 16, 2009

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

Related Resources

Overnight stay in the emergency department and mortality in older patients.

November 29, 2023

WebM&M Cases

Walking Out of a Hospital After Attempted Suicide

September 27, 2023

WebM&M Cases

Delayed Evaluation of Abdominal Pain in an Elderly Patient.

September 27, 2023

Disclosure of Medical Errors.

September 27, 2023

Harm Caused by Delays in Transferring Patients to the Right Place of Care.

September 6, 2023

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.

August 23, 2023

Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.

April 19, 2023

Controlled substance drug diversion by healthcare workers as a threat to patient safety.

March 14, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

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

January 11, 2023

ASHP Guidelines on Preventing Diversion of Controlled Substances.

December 14, 2022

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study.

May 11, 2022

The effect of clinician feedback interventions on opioid prescribing.

April 27, 2022

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.

January 12, 2022

Emergency department crowding: the canary in the health care system.

November 3, 2021

WebM&M Cases

Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations

September 29, 2021

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

September 8, 2021

A tragic death shows how ERs fail patients who struggle with addiction.

July 28, 2021

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Adverse events and emergency department opioid prescriptions in adolescents.

June 30, 2021

Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration.

June 23, 2021

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions.

December 16, 2020

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series.

September 30, 2020

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

September 30, 2020

Retrospective analysis of reported suicide deaths and attempts on veterans health administration campuses and inpatient units.

September 23, 2020

See More About The Topic

Emergency Departments

Health Care Providers

Emergency Medicine

Opiates/Narcotics

Active Errors

The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio.

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