Does appointment time influence primary care opioid prescribing?

August 30, 2019

Bottom Line: Physicians at primary care appointments were more likely to prescribe opioids for pain later in the day and as appointments ran more behind schedule, although the absolute difference in the prescribing rate across the day was modest in this analysis of electronic health records. The observational study included 678,319 primary care appointments for patients with a new painful condition who hadn't received an opioid prescription within the past year. The likelihood that an appointment resulted in an opioid prescription increased from 4% in the first three appointments of the day to 5.3% later on at the 19th to 21st appointments; and from 4.4% for appointments running less than 10 minutes late to 5.2% for appointments at least 60 minutes late. Similar patterns weren't observed for prescriptions for nonsteroidal anti-inflammatory drugs and referrals to physical therapy. Limitations of the study include other unobserved reasons patients may be prescribed opioids.

(doi:10.1001/jamanetworkopen.2019.10373)

Editor's Note: The study includes conflict of interest and funding/support disclosures. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
-end-
Media advisory: To contact corresponding author Hannah T. Neprash, Ph.D., email Sarah Bjorkman at bjor0180@umn.edu. The full study is linked to this news release.

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time: http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2019.10373?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=083019

About JAMA Network Open: JAMA Network Open is the new online-only open access general medical journal from the JAMA Network. Every Wednesday and Friday, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

JAMA Network Open

Related Electronic Health Records Articles from Brightsurf:

Inclusion of patient headshots in electronic health records decreases order errors
Analysis of the millions of orders placed for participating patients over a two-year span showed the rate of wrong patient order entry to be 35 percent lower for patients whose photos were included in their EHR.

Opioid use disorder? Electronic health records help pinpoint probable patients
A new study suggests that patients with opioid use disorder may be identified using information available in electronic health records, even when diagnostic codes do not reflect this diagnosis.

Largest study to date of electronic dental records reviews understudied populations
The largest study to date of electronic dental records (EDRs) delves into both previously inaccessible data and data from understudied populations with the ultimate goal of improving oral treatment outcomes.

Electronic health records fail to detect up to 33% of medication errors
Despite improvements in their performance over the past decade, electronic health records (EHRs) commonly used in hospitals nationwide fail to detect up to one in three potentially harmful drug interactions and other medication errors, according to scientists at University of Utah Health, Harvard University, and Brigham and Women's Hospital in Boston.

Mass General team detects Alzheimer's early using electronic health records
A team of scientists has developed a software-based method of scanning electronic health records to estimate the risk that a person will receive a dementia diagnosis.

Yale study: Doctors give electronic health records an 'F'
The transition to electronic health records (EHRs) was supposed to improve the quality and efficiency of healthcare for doctors and patients alike -- but these technologies get an 'F' rating for usability from health care professionals, and may be contributing to high rates of professional burnout, according to a new Yale-led study.

Regenstrief scientist recommends ways to improve electronic health records
In an editorial in the Journal of General Internal Medicine, Regenstrief Institute research scientist Michael Weiner, MD, MPH highlights shortcomings of electronic health records (EHRs) in living up to their full potential, and suggests ways to use EHRs to work more efficiently and ultimately more effectively for patients.

FutureNeuro researchers integrate genomics data in to electronic patient records
Researchers from the HSE Epilepsy Lighthouse Project and FutureNeuro, the SFI Research Centre for Chronic and Rare Neurological Diseases hosted by RCSI, have developed a new genomics module in the Irish National Epilepsy Electronic Patient Record (EPR) system.

New research finds private practice physicians less likely to maintain electronic records
The research led by Jordan Everson, Ph.D., assistant professor in the Department of Health Policy at Vanderbilt University Medical Center (VUMC), finds striking differences in use of electronic health records (EHRs) among more than 291,000 physicians included in the study.

Electronic health records decision support reduces inappropriate use of GI test
Programming a hospital's electronic health record system (EHR) to provide information on appropriate use of a costly gastrointestinal panel and to block unnecessary orders reduced inappropriate testing by 46% and saved up to $168,000 over 15 months, according to a study published today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.

Read More: Electronic Health Records News and Electronic Health Records Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.