How to Change Opiate Prescribing Habits

How to Change Opiate Prescribing Habits

Emergency clinicians who underestimated their own opiate prescribing were impacted more profoundly to reduce prescriptions by being shown their opiate prescribing data compared to their peers.

Supply of Opiates - Who's Prescribing Them?

Supply of Opiates - Who's Prescribing Them?

Episodic prescribers (most prescribers in the ED) contributed to less than 3% of the total morphine milligram equivalents prescribed, compared to the top 5% of prescribers who were responsible for 48.8%. Efforts to curb the opioid supply may be better served by targeting high-quantity prescribers.

Dear CMS - Saying No Doesn't Make Me a Bad Doctor

Dear CMS - Saying No Doesn't Make Me a Bad Doctor

This may come as a shock, but when you tell patients no, it negatively impacts patient satisfaction.  But that doesn't make you a bad doctor, regardless of what CMS says.

Private to Public ED Dumps Hurt Patients

Private to Public ED Dumps Hurt Patients

Failure of private hospitals to care for the uninsured resulted in informal ED to ED referrals, which meant up to 20% increased volume in public EDs for certain diagnoses, particularly orthopedic issues.  This led to duplicate testing, increased cost, complications, delays in care, and poor treatment of the most vulnerable patients.

She's My Surgeon - Female vs. Male Surgical Outcomes

She's My Surgeon - Female vs. Male Surgical Outcomes

Female surgeons had small but significantly improved 30-day mortality and other surgical outcomes over male surgeons, all other factors being equal.

Hey, Press Ganey - You Can't Improve What You Can't Control

Hey, Press Ganey - You Can't Improve What You Can't Control

Patient satisfaction is important.  But the most commonly used metric in the US, the Press Ganey survey, may not be a good measure of individual emergency physician and clinician performance.  Giving emergency clinicians feedback on their Press Ganey scores, ostensibly so they could take steps to improve, did not lead to appreciable score improvements.

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