Nudges for Opioid Reduction After Major Surgery Trial (NORMS)

University of Washington

Status: Active, not recruiting

Conditions: Surgery

Treatments: Behavioral: Electronic Medical Record Based Discharge Medication Order Set

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04927351

2T32DK070555-06 (U.S. NIH Grant/Contract)

STUDY00013382

Details and patient eligibility

About

This is a prospective pilot trial to evaluate a new electronic medical record based intervention to improve discharges after surgery. The investigators hypothesize that standard discharge medications after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.

Full description

This is a 2-arm parallel randomized trial comparing a new electronic medical record (EMR)-based intervention to usual care after surgery. All patients will receive their usual peri- and intraoperative care. Then, upon discharge, their providers will see the new EMR-based discharge order set (intervention arm) or not (usual care). The investigators hypothesize that standard discharge medication order sets after surgery will help to optimize opioid prescribing and potentially decrease healthcare utilization in the first 30 days after surgery.

Enrollment: 484 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients
• Aged 18 and over
• Undergo selected general surgical procedures

Exclusion criteria

• Less than 18 years of age

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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484 participants in 2 patient groups

Intervention

Experimental group

Description:

New electronic medical record based discharge medication order set.

Treatment:

Behavioral: Electronic Medical Record Based Discharge Medication Order Set

Control

No Intervention group

Description:

Usual Care