Clean Sweep Live Auction on Wed. May 1st. Click to view the full inventory

DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Pediatrics
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment




Health IT Homepage

Want to reduce readmissions? Let’s start with keeping patients healthier Insights from Robin Hill, chief clinical officer at Vivify Health

Decision support software could reduce scans by 6 percent: MIT researchers Prevent overuse of powerful and costly imaging exams

CMS to add more telehealth benefits to Medicare Advantage plans Aiming for greater flexibility, lower costs

Fredrik Palm ContextVision appoints new CEO

Trice Imaging connects imaging devices of large chain healthcare provider Aleris Patients and physicians can view images on laptops, cell phones

Three recommendations to better understand HIPAA compliance Approximately 70 percent of organizations are not HIPAA compliant

Researchers orchestrate malware attack to expose imaging vulnerabilities Deceived radiologists and AI algorithms into misdiagnoses

How hyper-targeting patient communications can improve medication adherence Providing specific messages can make a world of difference

Sound Imaging launches MR patient motion and detection system, SAMM MD Reduces repeat scans, prevents interruption to workflow

Where are your patients going? Keeping patients from switching to a new provider is good business and good medicine

30 tablets are given when only
10-12 are needed

EMR default prescription setting could help curb the U.S. opioid crisis

by Lauren Dubinsky , Senior Reporter
Physicians can help curb the opioid crisis with a new EMR feature, according to a Penn Medicine study published this week in the Journal of General Internal Medicine.

It's a default option for a lower quantity of tablets in the EMR discharge orders.

Story Continues Below Advertisement


Special-Pricing Available on Medical Displays, Patient Monitors, Recorders, Printers, Media, Ultrasound Machines, and Cameras.This includes Top Brands such as SONY, BARCO, NDS, NEC, LG, EDAN, EIZO, ELO, FSN, PANASONIC, MITSUBISHI, OLYMPUS, & WIDE.

"For EDs in which there is wide variation in how many tablets are being prescribed, this would be a pretty simple tweak that could be implemented to make prescriptions consistent with guidelines from the American College of Emergency Physicians and other bodies," M. Kit Delgado, lead author, told HCB News.

More than 90 Americans die every day from an opioid overdose, according to the National Institute on Drug Abuse. President Trump declared a Nationwide Public Health Emergency to address the opioid crisis in October.

"The best way to prevent drug addiction and overdose is to prevent people from abusing drugs in the first place," he said in a statement. "If they don't start, they won't have a problem."

For patients who have been prescribed opioids for the first time, a larger amount of tablets prescribed is associated with long-term use and leftover tablets that could be misused or abused. They may receive 30 or more opioid tablets, but the recommended 10 to 12 is enough.

For the study, the research team examined prescription data from two Penn Medicine emergency departments between late 2014 and mid-2015. Both had Epic EMR technology, but Delgado noted the default setting could be implemented in any other EMR in which default prescription quantities can be set.

In 2015, both EDs replaced an EMR that required physicians to enter the amount of tablets for opioid prescriptions with an EMR that has a default quantity of 10 tablets. The physicians could override that by selecting 20 tablets or customizing the order.

The team compared weekly prescribing patterns for oxycodone (5 mg)/acetaminophen (325 mg) for 41 weeks. In total, more than 3,200 prescriptions were written.

They found that a fewer number of opioid tablets were prescribed when the default setting was programmed to 10 tablets. In 2014, just under 21 percent of orders were for 10 tablets but in 2015 that rose to over 43 percent.

There was also a small decrease in prescriptions written for less than 10 tablets. The researchers stated that future endeavors to set default quantities should also provide a default option for the lowest baseline prescription.

"The key is to take a look at the baseline data and set the default number near the low end of what physicians are prescribing," said Delgado. "If this is not done, you likely have the unintended consequence of nudging the physicians who were prescribing quantities below the default to now prescribe the default quantity."

This new data backs a larger study known as REDUCE, which will expand on these findings by studying 50 EDs and urgent care centers affiliated with 24 hospitals for three years.

Health IT Homepage

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2019 DOTmed.com, Inc.