Evidence map›Paper›PMID 38375407›Full record

ArticleJournal of pain research2024

Effect of Best Practice Alert (BPA) on Post-Discharge Opioid Prescribing After Minimally Invasive Hysterectomy: A Quality Improvement Study.

Alexandra Jankulov, Sawsan As-Sanie, Christopher Zimmerman, Jessica Virzi, Sudharsan Srinivasan, Hae Mi Choe, Chad M Brummett

Abstract read
In one paragraph

Article in Journal of pain research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Alexandra JankulovOakland University William Beaumont School of Medicine, Rochester Hills, MI, USA.ORCID 0000-0002-0473-7849
Sawsan As-SanieDepartment of Obstetrics & Gynecology, University of Michigan Health System, Ann Arbor, MI, USA.
Christopher ZimmermanDepartment of Health Information and Technology Services, University of Michigan Health System, Ann Arbor, MI, USA.
Jessica VirziDepartment of Precision Health, University of Michigan Health System, Ann Arbor, MI, USA.
Sudharsan SrinivasanDepartment of Anesthesiology, University of Michigan Health System, Ann Arbor, MI, USA.
Hae Mi ChoeDepartment of Health Information and Technology Services, University of Michigan Health System, Ann Arbor, MI, USA.
Chad M BrummettDepartment of Anesthesiology, University of Michigan Health System, Ann Arbor, MI, USA.ORCID 0000-0003-0974-7242

Funding

SHORT-TERM TRAINING IN HEALTH PROF SCHOOLST35HL007690 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FLAHERTY, KEVIN R · 1990 to 2024
$3.3M
NHLBI NIH HHS T35 HL007690
6 · The paper itself

Abstract

Purpose: The aim of this study was to describe the effectiveness of an electronic health record best practice alert (BPA) in decreasing gynecologic post-discharge opioid prescribing following benign minimally invasive hysterectomy. Patients and Methods: The BPA triggered for opioid orders >15 tablets. Prescribers' options included (1) decrease to 15 ≤ tablets; (2) remove the order/utilize a defaulted order set; or (3) override the alert. Results: 332 patients were included. The BPA triggered 29 times. The following actions were taken among 16 patients for whom the BPA triggered: "override the alert" (n=13); "cancel the alert" (n=2); and 'remove the opioid order set' (n=1). 12/16 patients had discharge prescriptions: one patient received 20 tablets; two received 10 tablets; and nine received 15 tablets. Top reasons for over prescribing included concerns for pain control and lack of alternatives. Conclusion: Implementing a post-discharge opioid prescribing BPA aligned opioid prescribing following benign minimally invasive hysterectomy with guideline recommendations.

Indexed as

hysterectomyopioidpatient dischargepractice patternsprescribing

Identifiers

PMID38375407
PMCPMC10875180

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.