Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2T32DK070555-06 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
Not provided
Not provided
Not provided
Not provided
This is a prospective pilot trial to evaluate a new electronic medical record based intervention to improve discharges after surgery. The investigators hypothesize that standard discharge medications after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.
This is a 2-arm parallel randomized trial comparing a new electronic medical record (EMR)-based intervention to usual care after surgery. All patients will receive their usual peri- and intraoperative care. Then, upon discharge, their providers will see the new EMR-based discharge order set (intervention arm) or not (usual care). The investigators hypothesize that standard discharge medication order sets after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | New electronic medical record based discharge medication order set. |
|
| Control | No Intervention | Usual Care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electronic Medical Record Based Discharge Medication Order Set | Behavioral | New medication discharge order set including recommended opioid quantities, adjunct pain medication |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total Discharge Opioid Burden | Morphine milligram equivalents in the initial discharge prescription after index surgery | Immediately after study intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Additional Opioid Burden within 30 days | Morphine milligram equivalents on any additional opioid prescription within 30 days of discharge | Within 30 Days |
| Proportion of cases with Phone Calls to Surgery Department |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| David Flum, MD, MPH | University of Washington | Study Director |
| Irene Zhang, MD | University of Washington | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Washington | Seattle | Washington | 98105 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 1, 2022 | Oct 3, 2022 | Prot_SAP_000.pdf |
Not provided
2 arm parallel, cluster-randomized trial
Not provided
Not provided
Not provided
Not provided
Phone calls to surgery department within 30 days of discharge
| Within 30 Days |
| Proportion of Cases with Emergency Room Visits | ER visits within 30 days of discharge | Within 30 Days |
| Proportion of Cases with Hospital Readmissions to a Surgical Service | Readmissions to surgical service within 30 days of discharge | Within 30 Days |