Statewide cross-sectional survey of emergency departments’ adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices

Authors

Jonathan Penm, University of SydneyFollow
Neil J. MacKinnon, University of Cincinnati
Rebecca Mashni, University of Cincinnati
Michael S. Lyons, University of Cincinnati
Edmond A. Hooker, University of Cincinnati
Erin L. Winstanley, West Virginia University
Steve Carlton-Ford, University of Cincinnati
Chloe Connelly, University of Cincinnati
Erica Tolle, University of Cincinnati
Jill Boone, University of Cincinnati
Kathleen Koechlin, Ohio Department of Health
Jolene Defiore-Hyrmer, Ohio Department of Health

Author ORCID Identifier

https://orcid.org/0000-0001-9606-7135

https://orcid.org/0000-0001-8111-6651

https://orcid.org/0000-0002-8266-4032

N/A

N/A

https://orcid.org/0000-0001-7307-9483

https://orcid.org/0000-0003-3571-0259

N/A

N/A

N/A

N/A

https://orcid.org/0000-0003-3977-8250

Document Type

Article

Publication Date

2018

Abstract

study objective: To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice.

Methods: The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman’s Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage ED participation. Descriptive statistics were used to assess the impact of opioid prescribing policies on prescribing practices.

results: A 92% response rate was obtained (150/163 EDs). In total, 112 (75%) of the respondents stated that their ED has an opioid prescribing policy, is adopting one or is implementing prescribing guidelines without a specific policy. Of these 112 EDs, 81 (72%) based their policy on the Ohio ED Opioid Prescribing Guidelines. The majority of respondents strongly agreed/agreed that the prescribing guidelines have increased the use of the prescription drug monitoring programme (86%) and have reduced inappropriate opioid prescribing (71%).

Conclusion: This study showed that the Ohio ED Opioid Prescribing Guidelines have been widely disseminated and that the majority of EDs in Ohio are using them to develop local policies. The majority of respondents believed that the Ohio opioid prescribing guidelines reduced inappropriate opioid prescribing. However, prescribing practices still varied greatly between EDs.

Digital Commons Citation

Penm, Jonathan; MacKinnon, Neil J.; Mashni, Rebecca; Lyons, Michael S.; Hooker, Edmond A.; Winstanley, Erin L.; Carlton-Ford, Steve; Connelly, Chloe; Tolle, Erica; Boone, Jill; Koechlin, Kathleen; and Defiore-Hyrmer, Jolene, "Statewide cross-sectional survey of emergency departments’ adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices" (2018). Faculty & Staff Scholarship. 1678.
https://researchrepository.wvu.edu/faculty_publications/1678

Source Citation

Penm J, MacKinnon NJ, Mashni R, et al. Statewide cross-sectional survey of emergency departments’ adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices. BMJ Open 2018;8:e020477. doi:10.1136/ bmjopen-2017-020477

Comments

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