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Optimizing Post-Cesarean Opioid Prescription Practices at Mayo Clinic: A Quality Improvement Initiative
- Source :
- American journal of perinatology. 39(4)
- Publication Year :
- 2021
-
Abstract
- Objective Optimal prescriptions practices of opioids in the post-cesarean period remain controversial. The primary aim of this initiative was to minimize unused prescription narcotic medication, with a goal of ≤4 leftover pills of 5-mg oxycodone at postoperative day (POD) 14 without affecting pain or satisfaction measures. Study Design This was a prospective longitudinal quality improvement (QI) initiative starting in 2017 utilizing the DMAIC methodology. The measurement phase consisted of validated surveys over 3 months, along with chart review to determine current institutional prescription practices and predictors of outpatient opioid use. Resulting recommendations were adopted, and 1 year later, all patients undergoing cesarean were surveyed for 3 months to determine the effectiveness of the intervention. The study was approved by the Department's QI Committee. Results The response rate was 48%, with 50 of 101 patients completing surveys pre-intervention and 52 of 111 post-intervention. Pre-intervention, surplus medication was predicted (p Conclusion This initiative highlights a practical approach to QI utilizing industry techniques in health care. This approach resulted in significant reductions in over-prescription and unused medication, without impacting pain or satisfaction scores. Key Points
- Subjects :
- Narcotics
medicine.medical_specialty
Quality management
Narcotic
medicine.medical_treatment
Pregnancy
Health care
Medicine
Humans
Prospective Studies
Medical prescription
Practice Patterns, Physicians'
Response rate (survey)
Pain, Postoperative
business.industry
Obstetrics and Gynecology
Quality Improvement
Analgesics, Opioid
Prescriptions
Prescription opioid
Pill
Pediatrics, Perinatology and Child Health
Emergency medicine
Female
business
Oxycodone
medicine.drug
Subjects
Details
- ISSN :
- 10988785
- Volume :
- 39
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- American journal of perinatology
- Accession number :
- edsair.doi.dedup.....f7ed88431948f1da47cf21130a768704