ArticleThe Clinical journal of pain2015
Using health information technology to improve adherence to opioid prescribing guidelines in primary care.
Article in The Clinical journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- The Effect of Opioid Stewardship Interventions on Key Outcomes: A Systematic Review.Journal of patient safety · 2020Pooled it
- Factors associated with the prescribing of high-dose opioids in primary care: a systematic review and meta-analysis.BMC medicine · 2020Pooled it
- Systematic Review and Meta-analysis of the Effectiveness of Implementation Strategies for Non-communicable Disease Guidelines in Primary Health Care.Journal of general internal medicine · 2018Pooled it
- Effect of opioid prescribing guidelines in primary care.Medicine · 2016Guideline
- Learning from Misses: Evaluating a Clinical Decision Support for Chronic Pain Management in Primary Care.Applied clinical informatics · 2025Trial
- Toward Safer Opioid Prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.Addiction science & clinical practice · 2022Trial
- Toward safer opioid prescribing: effects of the TOWER intervention on HIV care providers.AIDS care · 2022Trial
- Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Care: A Cluster-Randomized Clinical Trial.JAMA internal medicine · 2017Trial
- Factors associated with chronic pain clinical decision support use in primary care.PLOS digital health · 2026Article
- Designing a Real-Time Medication Intake and Adherence Dashboard: Features, Functionality, and Data Display to Meet the Needs of Patients, Care Partners and Healthcare Providers.Journal of medical systems · 2025Article
- Barriers, facilitators, and recommendations to increase the use of a clinical decision support tool for managing chronic pain in primary care.International journal of medical informatics · 2024Article
- Nudging strategies to influence prescribers' behavior toward reducing opioid prescriptions: a systematic scoping review.The Journal of international medical research · 2024Article
- A Pharmacist-Led Process to Monitor Discrepant Urine Drug Screen Results.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Current status of opioid prescription in South Korea using narcotics information management system.The Korean journal of pain · 2024Article
- Safety and Distribution of Opioid Prescribing by U.S. Surgeons.Annals of surgery · 2023Article
- Assessing the use of a clinical decision support tool for pain management in primary care.JAMIA open · 2022Article
- The Role of Informatics in Implementing Guidelines for Chronic Opioid Therapy Risk Assessment in Primary Care: A Narrative Review Informed by the Socio-Technical Model.Studies in health technology and informatics · 2022Review
- Evaluation of a Chronic Pain Screening Program Implemented in Primary Care.JAMA network open · 2021Article
- Smarter Screen Time: Integrating Clinical Dashboards Into Graduate Medical Education.Journal of graduate medical education · 2020Article
- Study protocol for evaluating Six Building Blocks for opioid management implementation in primary care practices.Implementation science communications · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the impact of a clinical dashboard for opioid analgesic management on opioid prescribing and adherence to opioid practice guidelines in primary care.
methodsA pre/postimplementation evaluation using electronic health record (EHR) data from patients receiving chronic opioid therapy (COT) between April 1, 2011 and March 31, 2013. Measures include annual proportions of COT patients who received urine drug testing, signed an opioid treatment agreement, had a documented assessment of pain-related functional status, and had at least 1 visit with a behavioral health provider.
resultsAdherence to several opioid prescribing guidelines improved in the postimplementation year compared with the preimplementation year: (1) the proportions of COT patients with a signed opioid treatment agreement and urine drug testing increased from 49% to 63% and 66% to 86%, respectively. The proportion of COT patients with a documented assessment of functional status increased from 33% to 46% and those with a behavioral health visit increased from 24% to 28%. However, there was a small decline in the proportion of patients prescribed COT from 3.4% to 3.1%. DISCUSSION: Implementation of an opioid dashboard led to increased adherence to certain opioid practice guidelines and a decline in COT. This may be attributable to more efficient team-based pain management facilitated by the dashboard and increased transparency of opioid prescription practices. Health Information Technology solutions such as clinical dashboards can increase adherence to practice guidelines.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.