Asking emergency department (ED) providers to self-identify their opioid prescribing practices and then providing them with timely, clinically relevant, individualized, and actionable feedback on their actual opioid prescribing data, significantly decreases future opioid prescribing among providers who underestimate their baseline prescribing. The study was published in the journal Academic Emergency Medicine (AEM).

They found that providers who initially underestimated opiate prescription rates had statistically significant decreases in opiate prescribing when compared to providers who were more accurate in initial self-assessment of prescribing rates.  The randomized trial exposes important gaps in providers' self-perceptions of opioid prescribing and demonstrates that a simple, data-driven intervention using query-reveal methodology may decrease future prescribing, particularly among providers who underestimate their prescribing practices.

The future interventions in which provider adherence to guidelines is expected, including opioid interventions outside the emergency department and other quality and safety initiatives, should directly address the potential barrier of inaccurate provider self-awareness.

Gail D'Onofrio, MD, MS, professor, and chair, Yale School of Medicine Department of Emergency Medicine, who is internationally known for her work in developing and testing interventions for department patients with unhealthy alcohol and other drug use, commented: "The results have real-world applicability. A simple intervention enhancing safe prescribing is one of several opportunities the emergency physician has to combat the current opioid epidemic."