ISQIC Opioid Resources
Minimizing Opioid Prescribing

Local Anesthetic Prior to Incision

Pre-incision local infiltration with levobupivacaine reduces pain and analgesic consumption after laparascopic cholecystectomy: a new device for day-case procedure


Overprescribing and Prescribing Recommendations

Hill et al. 2017: Wide variation and excessive dosage of opioid prescriptions for common general surgical procedures


Levy et al. 2015: Trends in opioid analgesic-prescribing rates by specialty, U.S., 2007-2012


Bates et al. 2011: Overprescription of postoperative narcotics: a look at postoperative pain medication delivery, consumption and disposal in urological practice


Ringwalt et al. 2014: Differential prescribing of opioid analgesics according to physician specialty for Medicaid patients with chronic noncancer pain diagnoses


Morris et al. 2015: The opioid epidemic: impact on orthopaedic surgery


Howard et al. 2017: Reduction in opioid prescribing through evidence-based prescribing guidelines


Michigan Open


CDC Opioid Prescribing Guidelines

Pain Management Expectation Setting with Patients

Shirley et al. 2013: Patient satisfaction: Implications and predictors of success

Mahomed et al. 2002: The importance of patient expectations in predicting functional outcomes after total joint arthroplasty

VA Step-wise Approach to Pain Management

Chronic Opioid Abuse Risk Factors

Sun et al. 2016: Incidence of and risk factors for chronic opioid use among opioid-naive patients in postoperative period


Harbaugh et al. 2018: Persistent opioid use among pediatric patients after surgery


Miech et al. 2015: Prescription opioids in adolescence and future opioid misuse



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Copyright © 2017, Illinois Surgical Quality Improvement Collaborative. All Rights Reserved.

NOTICE: Data and reports/charts are STRICTLY CONFIDENTIAL. Use of these data and reports is restricted solely to each participating medical center FOR INTERNAL QUALITY IMPROVEMENT PURPOSES ONLY.