Adopting best practices in post-operative analgesia prescribing in a safety-net hospital: Residents as a conduit to change.

Clicks: 257
ID: 83139
2019
Article Quality & Performance Metrics
Overall Quality Improving Quality
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Combines engagement data with AI-assessed academic quality
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Abstract
Safety-net hospitals frequently underperform on surgical quality measures. To achieve equitable surgical care, creative strategies are needed to improve care for this vulnerable population.We designed a trainee-led quality improvement (QI) program to promote evidence-based analgesia prescribing. The program included a collaborative resident leadership model and used educational interventions and performance feedback.Before the QI program, 48% of patients were discharged on acetaminophen post-operatively, and 0% were discharged on ibuprofen. In the most recent month since the QI program was launched, 100% of patients were discharged on acetaminophen, and 81% on ibuprofen.Our trainee-led quality improvement program demonstrates that surgical trainees can accelerate change and may be a powerful force for improving health equity through safer post-operative discharge prescribing practices at a safety-net hospital.
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Authors Bongiovanni, Tasce;Hansen, Keith;Lancaster, Elizabeth;O'Sullivan, Patricia;Hirose, Kenzo;Wick, Elizabeth;
Journal American journal of surgery
Year 2019
DOI S0002-9610(19)31575-2
URL
Keywords
quality improvement graduate medical education pain management opioids integrated learning systems postoperative drug therapy

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