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Papers of the Week

2022 Sep 19

BMJ Open



Evaluating the effectiveness of email-based nudges to reduce postoperative opioid prescribing: study protocol of a randomised controlled trial.


Kirkegaard A, Wagner Z, Mariano LT, Martinez MC, Yan X S, Romanelli RJ, Watkins KE
BMJ Open. 2022 Sep 19; 12(9):e061980.
PMID: 36123066.


Surgical patients are commonly prescribed more opioids at discharge than needed to manage their postoperative pain. These excess opioids increase the risks of new persistent opioid use, opioid-induced ventilatory impairment and opioid diversion. This study tests the effectiveness of two behavioural nudges, one based on peer behaviour and one based on best practice guidelines, in reducing excessive postoperative opioid prescriptions.