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Science Quickly

Docs Given Updated Opioid Prescribing Habit

Science Quickly

Scientific American

Science

4.2639 Ratings

🗓️ 26 January 2020

⏱️ 3 minutes

🧾️ Download transcript

Summary

Researchers dialed down the default number of opioids in two hospitals’ prescription systems—and doctors ended up prescribing fewer pills. Christopher Intagliata reports. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Understanding the human body is a team effort. That's where the Yachtel group comes in.

0:05.8

Researchers at Yachtolt have been delving into the secrets of probiotics for 90 years.

0:11.0

Yacold also partners with nature portfolio to advance gut microbiome science through the global grants for gut health, an investigator-led research program.

0:19.6

To learn more about Yachtolt, visit yawcult.co.

0:22.7

.jp. That's Y-A-K-U-L-T.C-O.J-P. When it comes to a guide for your gut, count on Yacolt.

0:33.7

This is Scientific American's 60-second science. I'm Christopher in Taliatta.

0:39.3

Used to be, when doctors prescribed a drug, they'd open up a book summarizing drugs and dosages,

0:44.3

or go by memory for the common stuff.

0:46.3

But nowadays...

0:47.3

Now you can type in whatever it is, and then it's placing an order via the computer,

0:52.3

so you type in an order of the name of the drug,

0:55.4

and it will pre-populate everything. Juan Carlos Montoy is an emergency medicine physician at San Francisco

1:01.8

General Hospital. He also studies decision-making in health care. He says for an antibiotic,

1:07.1

the default dose programmed into a doctor's computer might be pretty standard, but for pain,

1:12.2

the number of opioids prescribed might vary a lot, depending on the patient and their type of pain.

1:17.1

Well, we wanted to look at is whether and to what extent the presets, the default settings

1:22.6

that we had in the electronic medical record influence provider prescribing.

1:27.8

Specifically, would lower defaults result in fewer opioids being prescribed.

1:32.8

So Montoy's team systematically changed the recommended opioid pill number defaults

1:37.3

in the computer systems of two hospitals in the San Francisco Bay Area during an eight-month period.

1:43.0

Each hospital's pre-existing defaults were

1:45.1

12 and 20 pills, respectively. The researchers dialed in new defaults of 5, 10, 15, or an unspecified

...

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