Date of this Version
Setting a low quantity of opioid tablets as the default option in electronic medical record prescribing orders may “nudge” clinicians to prescribe fewer opioids. When two emergency departments implemented a 10-tablet default instead of a manual entry, the proportion of 10-tablet prescriptions written more than doubled, from 20.6% to 43.3%. Conversely, 20-tablet prescriptions decreased from 22.8% to 16.1%, and prescriptions for 11-19 tablets decreased from 33.5% to 20.1%.
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Opioids, opioid epidemic, prescribing, emergency department, electronic medical record, behavioral economics, nudge
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Citation For This Study
Delgado, M.K, F.S. Shofer, M.S. Patel, S. Halpern S., E. Christopher, Z.M. Meisel, J. Perrone. Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities and Prescribing Behavior in Two Emergency Departments. Journal of General Internal Medicine. 2018. doi: 10.1007/s11606-017-4286-5
Date Posted: 07 February 2018