Simple Measures to Reduce Opioid Prescriptions Following Pediatric Spinal Fusion Surgery: A Multidisciplinary Quality Improvement Project

Simple item page
dc.contributor.otherCharu, Sharmaen
dc.contributor.otherBukowsky, Stacieen
dc.contributor.otherGreenberg, Sandien
dc.contributor.otherBirch, Craigen
dc.contributor.otherRamo, Brandonen
dc.creatorWinsauer, Andrewen
dc.creator.orcid0000-0003-3882-1309
dc.date.accessioned2022-03-04T17:59:22Z
dc.date.available2022-03-04T17:59:22Z
dc.date.issued2022-02-01
dc.descriptionThe 60th Annual Medical Student Research Forum at UT Southwestern Medical Center (Tuesday, February 1, 2022, 3-6 p.m., Microsoft Teams)en
dc.description.abstractBACKGROUND: The opioid epidemic is one of the biggest challenges facing modern healthcare. Among the adolescent and young adult populations opioid overdose is one of the leading causes of death. LOCAL PROBLEM: Within pediatric orthopaedics, spinal fusion is a common procedure making up 7% of the surgical volume at our institution. Spinal fusion also has high postoperative opioid prescribing rates. Review of baseline data showed that there was wide variability in prescribing habits. The goal of this quality initiative was to reduce and standardize post-operative opioid prescribing following spinal fusion procedures. METHODS: Data, including opiate-prescribing habits and a patient survey to assess patient and parent satisfaction with pain control, was collected retrospectively in the pre-intervention phase for 99 consecutive Adolescent and Juvenile Idiopathic Scoliosis patients undergoing spinal fusion surgery. This was followed with 2 PDSA cycles following implementation of a new protocol during which prospective surveys were administered to a total of 273 patients. Physician prescribing data was collected for 150 patients during the sustain phase. INTERVENTIONS: A multi-pronged approached was utilized consisting of the following aspects: 1) Instruction to orthopaedic trainees to limit opioid prescriptions to 45 and 40 for PDSA cycles 1 and 2, respectively. 2) A pharmacy-led education program with an opioid tapering handout given to families and encouragement of usage of non-opioid pain control. 3) A call to the prescribing physician from pharmacy if the prescribed dosage was greater than the maximum allowed. RESULTS: There was a significant reduction in opioid prescriptions from a preintervention mean of 48.5 doses to a PDSA 1 mean of 39.0, PDSA 2 mean of 37.5, and a sustain phase mean of 36.4 (p=0.000). This represented an estimated reduction of 22.8% over the course of the study. During this time, there was no significant change in patient and parent reported postoperative pain. CONCLUSIONS: Through simple measures, our institution was able to significantly reduce total opioid prescriptions following spinal fusion surgeries while maintaining good pain control.en
dc.description.sponsorshipSouthwestern Medical Foundationen
dc.identifier.citationWinsauer, A., Charu, S., Bukowsky, S., Greenberg, S., Birch, C., & Ramo, B. (2022, February 1). Simple measures to reduce opioid prescriptions following pediatric spinal fusion surgery: a multidisciplinary quality improvement project [Poster session]. 60th Annual Medical Student Research Forum, Dallas, Texas. https://hdl.handle.net/2152.5/9687en
dc.identifier.urihttps://hdl.handle.net/2152.5/9687
dc.language.isoenen
dc.relation.ispartofseries60th Annual Medical Student Research Forumen
dc.subjectQuality Improvement, Global Health, Community Health, Medical Education, and Research Designen
dc.subject.meshAdolescenten
dc.subject.meshAnalgesics, Opioiden
dc.subject.meshChilden
dc.subject.meshPain, Postoperativeen
dc.subject.meshPractice Patterns, Physicians'en
dc.subject.meshQuality Improvementen
dc.subject.meshSpinal Fusionen
dc.subject.meshYoung Adulten
dc.titleSimple Measures to Reduce Opioid Prescriptions Following Pediatric Spinal Fusion Surgery: A Multidisciplinary Quality Improvement Projecten
dc.typePresentationen

Files

Original bundle

Now showing 1 - 2 of 2
Thumbnail Image
Name:
Winsauer, Drew_Poster 50.pdf
Size:
386.22 KB
Format:
Adobe Portable Document Format
Description:
PDF file--public access
Download
No Thumbnail Available
Name:
Winsauer, Andrew- Permission for Upload_UTSW Institutional Repository[2].docx
Size:
41.74 KB
Format:
Microsoft Word XML
Description:
Release form -- restricted access
Download

Collections

Annual Medical Student Research Forum