Evidence map›Paper›PMID 29961010›Full record

ArticleBMJ open2018

Statewide cross-sectional survey of emergency departments' adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices.

Jonathan Penm, Neil J MacKinnon, Rebecca Mashni, Michael S Lyons, Edmond A Hooker, Erin L Winstanley, Steve Carlton-Ford, Chloe Connelly, Erica Tolle, Jill Boone and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The state of the science in opioid policy research.Drug and alcohol dependence · 2020
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Jonathan PenmSchool of Pharmacy, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.ORCID 0000-0001-9606-7135
Neil J MacKinnonUniversity of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.
Rebecca MashniUniversity of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.
Michael S LyonsDepartment of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Edmond A HookerDepartment of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Erin L WinstanleyDepartment of Behavioral Medicine & Psychiatry, School of Medicine, West Virginia University, Morgantown, WV, USA.
Steve Carlton-FordDepartment of Sociology, McMicken College of Arts and Science, University of Cincinnati, Cincinnati, Ohio, USA.
Chloe ConnellyUniversity of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.
Erica TolleUniversity of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.
Jill BooneUniversity of Cincinnati, James L Winkle College of Pharmacy, Cincinnati, Ohio, USA.
Kathleen KoechlinOhio Department of Health, Columbus, Ohio, USA.
Jolene Defiore-HyrmerOhio Department of Health, Columbus, Ohio, USA.
University of Cincinnati Medical Center · USOhio Department of Health · USArt Academy of Cincinnati · USThe University of Sydney · AUWest Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Anne Courtney DeVries · 2012 to 2026
$81.0M
OHIO PRESCRIPTION DRUG OVERDOSE PREVENTIONU17CE002738 · CE · OHIO STATE DEPARTMENT OF HEALTH · PI DEFIORE-HYRMER, JOLENE · 2015 to 2015
$940k
NCIPC CDC HHS U17 CE002738NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

STUDY

objectiveTo 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.

methodsThe 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.

resultsA 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%).

conclusionThis 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.

Indexed as

Practice Guidelines as TopicAnalgesics, OpioidCross-Sectional StudiesEmergency Service, HospitalGuideline AdherenceHumansInappropriate PrescribingOhioPractice Patterns, Physicians'Self ReportAnalgesics, Opioidhealth policyquality in health care

Identifiers

PMID29961010
PMCPMC6042556
OpenAlexW2810757739

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.