Dissemination and implementation science in cardiothoracic surgery: a review and case study

BT Heiden, E Tetteh, KJ Robbins, RG Tabak… - The Annals of thoracic …, 2022 - Elsevier
Dissemination and implementation (D&I) science is the practice of taking evidence-based
interventions and sustainably incorporating them into routine clinical practice. As a relatively …

Process, structural, and outcome quality indicators to support perioperative opioid stewardship: a rapid review

C Thomas, M Ayres, K Pye, D Yassin, SJ Howell… - Perioperative …, 2023 - Springer
Opioids are effective analgesics but can cause harm. Opioid stewardship is key to ensuring
that opioids are used effectively and safely. There is no agreed set of quality indicators …

Comparing rationale for opioid prescribing decisions after surgery with subsequent patient consumption: a survey of the highest quartile of prescribers

BR Beaulieu-Jones, JS Marwaha… - Journal of the …, 2023 - journals.lww.com
BACKGROUND: Opioid prescribing patterns, including those after surgery, have been
implicated as a significant contributor to the US opioid crisis. A plethora of interventions …

[HTML][HTML] Testing digital methods of patient-reported outcomes data collection: prospective cluster randomized trial to test SMS text messaging and mobile surveys

AK Agarwal, ZS Ali, F Shofer, R Xiong… - JMIR Formative …, 2022 - formative.jmir.org
Background Health care delivery continues to evolve, with an effort being made to create
patient-centered care models using patient-reported outcomes (PROs) data. Collecting …

Effect of mailing an at-home disposal kit on unused opioid disposal after surgery: a randomized clinical trial

AK Agarwal, D Lee, Z Ali, Y Wu, M Coniglio… - JAMA Network …, 2022 - jamanetwork.com
Many prescription opioids after surgery are left unused and are at risk of being misused. 1, 2
Encouraging proper disposal is important, yet motivating this behavior remains challenging …

Optimizing opioid prescriptions for patients in the emergency department—how much is almost never?

AS Kilaru, M Lowenstein, AK Agarwal - JAMA Network Open, 2022 - jamanetwork.com
It is now clear that a generation of patients seeking emergency care was exposed to
potential harm from opioid prescriptions. 1 Emergency departments (EDs) were always …

[HTML][HTML] Identifying Patient Characteristics Associated With Opioid Use to Inform Surgical Pain Management

AK Agarwal, R Xiong, J Ebert, F Shofer… - Annals of Surgery …, 2023 - journals.lww.com
Objective: Balancing surgical pain management and opioid stewardship is complex.
Identifying patient-level variables associated with low or no use can inform tailored …

Real-Time measurement of patient reported outcomes and opioid use following urologic procedures using automated text messaging

D Lee, A Agarwal, Z Ali, R Xiong, E Spencer… - Urology, 2022 - Elsevier
Objective To evaluate opioid consumption and patient-reported pain intensity following
urologic procedures. Methods Adult patients were consented following a urologic procedure …

Postoperative Opioid Prescribing via Rule-Based Guidelines Derived from In-Hospital Consumption: An Assessment of Efficacy Based on Post-Discharge Opioid Use

BR Beaulieu-Jones, MT Berrigan… - Journal of the …, 2023 - journals.lww.com
Background: Many institutions have developed operation-specific guidelines for opioid
prescribing. These guidelines rarely incorporate in-hospital opioid consumption, which is …

[HTML][HTML] Machine learning nonresponse adjustment of patient-reported opioid consumption data to enable consumption-informed postoperative opioid prescribing …

CJ Kennedy, JS Marwaha, BR Beaulieu-Jones… - Surgery in practice and …, 2022 - Elsevier
Background Post-discharge opioid consumption is a crucial patient-reported outcome
informing opioid prescribing guidelines, but its collection is resource-intensive and …