ArticleThe Journal of emergency medicine2019
Emergency Physicians' Perception of Barriers and Facilitators for Adopting an Opioid Prescribing Guideline in Ohio: A Qualitative Interview Study.
Article in The Journal of emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Advances in prescription drug monitoring program research: a literature synthesis (June 2018 to December 2019).Current opinion in psychiatry · 2020Pooled it
- Opioid Prescribing by US Dentists and Dental Specialists after Continuing Education.JDR clinical and translational research · 2026Article
- Biosurveillance and the Opioid Crisis in Emergency Medicine: Qualitative Study of Physician Perspectives.JMIR formative research · 2026Article
- Quality indicators for opioid stewardship interventions in hospital inpatient and emergency departments: a systematic review.Pain reports · 2025Review
- Prevalence, pandemic, preventions and policies to overcome antimicrobial resistance.Saudi journal of biological sciences · 2024Review
- Exploring perspectives on changing opioid prescribing practices: A qualitative study of community stakeholders in the HEALing Communities Study.Drug and alcohol dependence · 2022Article
- Addressing the Opioid Crisis through an Interdisciplinary Task Force in Cincinnati, Ohio, USA.Pharmacy (Basel, Switzerland) · 2020Article
- Stroke Prophylaxis for Atrial Fibrillation? To Prescribe or Not to Prescribe-A Qualitative Study on the Decisionmaking Process of Emergency Department Providers.Annals of emergency medicine · 2019Article
- Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers.The Journal of surgical research · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundOhio has the fifth highest rate of prescription opioid overdose deaths in the United States. One strategy implemented to address this concern is a state-wide opioid prescribing guideline in the emergency department (ED).
objectiveOur aim was to explore emergency physicians' perceptions on barriers and strategies for the Ohio ED opioid prescribing guideline.
methodsSemi-structured interviews with emergency physicians in Ohio were conducted from October to December 2016. Emergency physicians were recruited through the American College of Emergency Physicians Ohio State Chapter. The interview guide explored issues related to the implementation of the guidelines. Interview data were transcribed and thematically analyzed and coded using a scheme of inductively determined labels.
resultsIn total, we conducted 20 interviews. Of these, 11 were also the ED medical director at their institution. Main themes we identified were: 1) increased organizational responsibility, 2) improved prescription drug monitoring program (PDMP) integration, 3) concerns regarding patient satisfaction scores, and 4) increased patient involvement. In addition, some physicians wanted the guidelines to contain more clinical information and be worded more strongly against opioid prescribing. Emergency physicians felt patient satisfaction scores were perceived to negatively impact opioid prescribing guidelines, as they may encourage physicians to prescribe opioids. Furthermore, some participants reported that this is compounded if the emergency physicians' income was linked to their patient satisfaction score.
conclusionsEmergency physicians interviewed generally supported the state-wide opioid prescribing guideline but felt hospitals needed to take additional organizational responsibility for addressing inappropriate opioid prescribing.
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