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Statewide cross-sectional survey of emergency departments' adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices.
BMJ Open. 2018 06 30; 8(6):e020477.BO

Abstract

STUDY OBJECTIVE

To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice.

METHODS

The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman's Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage ED participation. Descriptive statistics were used to assess the impact of opioid prescribing policies on prescribing practices.

RESULTS

A 92% response rate was obtained (150/163 EDs). In total, 112 (75%) of the respondents stated that their ED has an opioid prescribing policy, is adopting one or is implementing prescribing guidelines without a specific policy. Of these 112 EDs, 81 (72%) based their policy on the Ohio ED Opioid Prescribing Guidelines. The majority of respondents strongly agreed/agreed that the prescribing guidelines have increased the use of the prescription drug monitoring programme (86%) and have reduced inappropriate opioid prescribing (71%).

CONCLUSION

This study showed that the Ohio ED Opioid Prescribing Guidelines have been widely disseminated and that the majority of EDs in Ohio are using them to develop local policies. The majority of respondents believed that the Ohio opioid prescribing guidelines reduced inappropriate opioid prescribing. However, prescribing practices still varied greatly between EDs.

Authors+Show Affiliations

School of Pharmacy, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.Department of Behavioral Medicine & Psychiatry, School of Medicine, West Virginia University, Morgantown, WV, USA.Department of Sociology, McMicken College of Arts and Science, University of Cincinnati, Cincinnati, Ohio, USA.University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.University of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.Ohio Department of Health, Columbus, Ohio, USA.Ohio Department of Health, Columbus, Ohio, USA.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

29961010

Citation

Penm, Jonathan, et al. "Statewide Cross-sectional Survey of Emergency Departments' Adoption and Implementation of the Ohio Opioid Prescribing Guidelines and Opioid Prescribing Practices." BMJ Open, vol. 8, no. 6, 2018, pp. e020477.
Penm J, MacKinnon NJ, Mashni R, et al. Statewide cross-sectional survey of emergency departments' adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices. BMJ Open. 2018;8(6):e020477.
Penm, J., MacKinnon, N. J., Mashni, R., Lyons, M. S., Hooker, E. A., Winstanley, E. L., Carlton-Ford, S., Connelly, C., Tolle, E., Boone, J., Koechlin, K., & Defiore-Hyrmer, J. (2018). Statewide cross-sectional survey of emergency departments' adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices. BMJ Open, 8(6), e020477. https://doi.org/10.1136/bmjopen-2017-020477
Penm J, et al. Statewide Cross-sectional Survey of Emergency Departments' Adoption and Implementation of the Ohio Opioid Prescribing Guidelines and Opioid Prescribing Practices. BMJ Open. 2018 06 30;8(6):e020477. PubMed PMID: 29961010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Statewide cross-sectional survey of emergency departments' adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices. AU - Penm,Jonathan, AU - MacKinnon,Neil J, AU - Mashni,Rebecca, AU - Lyons,Michael S, AU - Hooker,Edmond A, AU - Winstanley,Erin L, AU - Carlton-Ford,Steve, AU - Connelly,Chloe, AU - Tolle,Erica, AU - Boone,Jill, AU - Koechlin,Kathleen, AU - Defiore-Hyrmer,Jolene, Y1 - 2018/06/30/ PY - 2018/7/2/entrez PY - 2018/7/2/pubmed PY - 2019/9/21/medline KW - health policy KW - quality in health care SP - e020477 EP - e020477 JF - BMJ open JO - BMJ Open VL - 8 IS - 6 N2 - STUDY OBJECTIVE: To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice. METHODS: The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman's Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage ED participation. Descriptive statistics were used to assess the impact of opioid prescribing policies on prescribing practices. RESULTS: A 92% response rate was obtained (150/163 EDs). In total, 112 (75%) of the respondents stated that their ED has an opioid prescribing policy, is adopting one or is implementing prescribing guidelines without a specific policy. Of these 112 EDs, 81 (72%) based their policy on the Ohio ED Opioid Prescribing Guidelines. The majority of respondents strongly agreed/agreed that the prescribing guidelines have increased the use of the prescription drug monitoring programme (86%) and have reduced inappropriate opioid prescribing (71%). CONCLUSION: This study showed that the Ohio ED Opioid Prescribing Guidelines have been widely disseminated and that the majority of EDs in Ohio are using them to develop local policies. The majority of respondents believed that the Ohio opioid prescribing guidelines reduced inappropriate opioid prescribing. However, prescribing practices still varied greatly between EDs. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/29961010/Statewide_cross_sectional_survey_of_emergency_departments'_adoption_and_implementation_of_the_Ohio_opioid_prescribing_guidelines_and_opioid_prescribing_practices_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=29961010 DB - PRIME DP - Unbound Medicine ER -