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

https://www.cdc.gov/drugoverdose/pdf/Guidelines_Factsheet-a.pdf

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

https://www.pbm.va.gov/PBM/AcademicDetailingService/Documents/Academic_Detailing_Educational_Material_Catalog/Pain_Provider_AcutePainProviderEducationalGuide_IB10998.pdf

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

 

 

Illinois PMP 2018 Law

http://www.ilga.gov/legislation/publicacts/100/PDF/100-0564.pdf

www.ilpmp.org

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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.