Article ; Online: Implementing a Protocol to Reduce Opioid Prescriptions in Military Otolaryngology: A Quality Improvement Initiative.
2021 Volume 187, Issue 1-2, Page(s) e154–e159
Abstract: Introduction: To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP).: Materials and methods: Data from 58 adult ... ...
| Abstract | Introduction: To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP). Materials and methods: Data from 58 adult patients were retrieved by retrospective chart review (19 septoplasties and 10 rhinoplasties before initiating PROP in September 2018 and 21 septoplasties and 8 rhinoplasties after PROP). We selected consecutive septoplasties and rhinoplasties, at which time a new discharge order set was implemented. The new order set consisted of 10 oxycodone tabs (5 mg), 100 acetaminophen tabs (325 mg), and 28 celecoxib tabs (200 mg). The primary outcome variable was the number of initial opioid prescriptions and refills filled by any provider. Results: Among the septoplasties, there was a 46% decrease in total morphine milligram equivalent (MME) prescribed, from a mean of 202.0 mg in the non-PROP group (95% CI, 235.4, 174.6) to 108.6 mg in the PROP group (95% CI, 135.8, 81.4), with no difference in refill rates. Among the rhinoplasties, there was a 51% decrease in total MME prescribed, from a mean of 258.8 mg in the non-PROP group (95% CI, 333.4, 184.1) to 126.6 mg in the PROP group (95% CI, 168.1, 85.0) with no difference in refill rates. Conclusions: The outcomes after PROP implementation for septoplasty and rhinoplasty at our institution suggest that opioid prescription rates can be significantly decreased to manage postoperative pain, with no difference in opioid refill rates. The results also warrant further investigation into patient pain, satisfaction, provider efficiency, and healthcare costs. |
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| MeSH term(s) | Adult ; Analgesics, Opioid/therapeutic use ; Drug Prescriptions ; Humans ; Military Personnel ; Otolaryngology ; Pain, Postoperative/drug therapy ; Practice Patterns, Physicians' ; Quality Improvement ; Retrospective Studies | |||||
| Chemical Substances | Analgesics, Opioid | |||||
| Language | English | |||||
| Publishing date | 2021-01-04 | |||||
| Publishing country | England | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 391061-1 | |||||
| ISSN | 1930-613X ; 0026-4075 | |||||
| ISSN (online) | 1930-613X | |||||
| ISSN | 0026-4075 | |||||
| DOI | 10.1093/milmed/usaa484 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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