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Papers of the Week

Papers: 28 Nov 2020 - 4 Dec 2020

Human Studies

2020 Nov 28

BMC Fam Pract



Increasing system-wide implementation of opioid prescribing guidelines in primary care: findings from a non-randomized stepped-wedge quality improvement project.


Zgierska AE, Robinson JM, Lennon RP, Smith PD, Nisbet K, Ales MW, Boss D, Tuan W-J, Vidaver RM, Hahn DL
BMC Fam Pract. 2020 Nov 28; 21(1):245.
PMID: 33248458.


Clinician utilization of practice guidelines can reduce inappropriate opioid prescribing and harm in chronic non-cancer pain; yet, implementation of "opioid guidelines" is subpar. We hypothesized that a multi-component quality improvement (QI) augmentation of "routine" system-level implementation efforts would increase clinician adherence to the opioid guideline-driven policy recommendations.