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Clinical Trials Update
October 24/31, 2017

Intervention Improves Adherence to Opioid Prescribing Guidelines

JAMA. 2017;318(16):1532. doi:10.1001/jama.2017.15789

An intervention created to decrease opioid misuse improved primary care clinicians’ adherence to opioid-prescribing guidelines but didn’t decrease early opioid refills, according to a recent study.

Fifty-three physicians, who cared for 985 patients receiving long-term opioid therapy, were randomized to a multicomponent intervention or to electronic decision tools for safe opioid prescribing. The intervention included a nurse care manager who monitored patients’ medication use, an electronic registry with refill dates and urine drug testing results, 1-on-1 prescribing feedback with an opioid-prescribing expert, and electronic opioid-prescribing decision tools.