Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT04927351

Nudges for Opioid Reduction After Major Surgery Trial

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Notify Me

Key information

Conditions

Surgery

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Washington

Seattle, Washington, 98105, United States

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Less than 18 years of age

Treatment and study plan

Electronic Medical Record Based Discharge Medication Order Set

Behavioral

New medication discharge order set including recommended opioid quantities, adjunct pain medication

Primary outcomes

  1. Total Discharge Opioid Burden

    Time frame: Immediately after study intervention

    Morphine milligram equivalents in the initial discharge prescription after index surgery

Secondary outcomes

  1. Additional Opioid Burden within 30 days

    Time frame: Within 30 Days

    Morphine milligram equivalents on any additional opioid prescription within 30 days of discharge

  2. Proportion of cases with Phone Calls to Surgery Department

    Time frame: Within 30 Days

    Phone calls to surgery department within 30 days of discharge

  3. Proportion of Cases with Emergency Room Visits

    Time frame: Within 30 Days

    ER visits within 30 days of discharge

  4. Proportion of Cases with Hospital Readmissions to a Surgical Service

    Time frame: Within 30 Days

    Readmissions to surgical service within 30 days of discharge

Sponsors and collaborators

Lead sponsor

University of Washington

Other

Collaborators

  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Registry information

Official study title

Nudges for Opioid Reduction After Major Surgery

Acronym: NORMS

Important dates

Study start
2021
Primary completion
2022
Study completion
2024
First posted
Jun 16, 2021
Registry last updated
Jul 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.