Global S&T Development Trend Analysis Platform of Resources and Environment
DOI | 10.1126/science.aat4595 |
Opioid prescribing decreases after learning of a patient's fatal overdose | |
Doctor, Jason N.1; Nguyen, Andy1; Lev, Roneet2; Lucas, Jonathan3; Knight, Tara1; Zhao, Henu1; Menchine, Michael4 | |
2018-08-10 | |
发表期刊 | SCIENCE
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ISSN | 0036-8075 |
EISSN | 1095-9203 |
出版年 | 2018 |
卷号 | 361期号:6402页码:588-590 |
文章类型 | Article |
语种 | 英语 |
国家 | USA |
英文摘要 | Most opioid prescription deaths occur among people with common conditions for which prescribing risks outweigh benefits. General psychological insights offer an explanation: People may judge risk to be low without available personal experiences, may be less careful than expected when not observed, and may falter without an injunction from authority. To test these hypotheses, we conducted a randomized trial of 861 clinicians prescribing to 170 persons who subsequently suffered fatal overdoses. Clinicians in the intervention group received notification of their patients' deaths and a safe prescribing injunction from their county's medical examiner, whereas physicians in the control group did not. Milligram morphine equivalents in prescriptions filled by patients of letter recipients versus controls decreased by 9.7% (95% confidence interval: 6.2 to 13.2%; P < 0.001) over 3 months after intervention. We also observed both fewer opioid initiates and fewer high-dose opioid prescriptions by letter recipients. |
领域 | 地球科学 ; 气候变化 ; 资源环境 |
收录类别 | SCI-E ; SSCI |
WOS记录号 | WOS:000441202700034 |
WOS关键词 | UNITED-STATES ; HEROIN USE ; ADDICTION ; RISK |
WOS类目 | Multidisciplinary Sciences |
WOS研究方向 | Science & Technology - Other Topics |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | http://119.78.100.173/C666/handle/2XK7JSWQ/199332 |
专题 | 地球科学 资源环境科学 气候变化 |
作者单位 | 1.Univ Southern Calif, Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA 90007 USA; 2.Scripps Mercy Hosp San Diego, Emergency Dept, San Diego, CA USA; 3.Dept Med Examiner Coroner, Los Angeles, CA USA; 4.Univ Southern Calif, Dept Emergency Med, Los Angeles, CA USA |
推荐引用方式 GB/T 7714 | Doctor, Jason N.,Nguyen, Andy,Lev, Roneet,et al. Opioid prescribing decreases after learning of a patient's fatal overdose[J]. SCIENCE,2018,361(6402):588-590. |
APA | Doctor, Jason N..,Nguyen, Andy.,Lev, Roneet.,Lucas, Jonathan.,Knight, Tara.,...&Menchine, Michael.(2018).Opioid prescribing decreases after learning of a patient's fatal overdose.SCIENCE,361(6402),588-590. |
MLA | Doctor, Jason N.,et al."Opioid prescribing decreases after learning of a patient's fatal overdose".SCIENCE 361.6402(2018):588-590. |
条目包含的文件 | 条目无相关文件。 |
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