{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T22:01:10Z","timestamp":1766268070847,"version":"build-2065373602"},"reference-count":24,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2023,9]]},"DOI":"10.1016\/j.surg.2023.05.036","type":"journal-article","created":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T10:33:32Z","timestamp":1688639612000},"page":"517-523","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Are postoperative opioid stewardship protocols sustainable? Results from a 2-year quality improvement project"],"prefix":"10.1016","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5594-5680","authenticated-orcid":false,"given":"Alexa D.","family":"Melucci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0877-6500","authenticated-orcid":false,"given":"Anthony","family":"Loria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holli","family":"Swanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quarnisha","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Moalem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0553-1591","authenticated-orcid":false,"given":"Fergal J.","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larissa K.","family":"Temple","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2023.05.036_bib1","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1097\/SLA.0000000000004225","article-title":"Opioids after surgery in the United States versus the rest of the world: the International Patterns of Opioid Prescribing (iPOP) multicenter study","volume":"272","author":"Kaafarani","year":"2020","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib2","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1213\/ANE.0000000000002458","article-title":"Chronic opioid use after surgery: implications for perioperative management in the face of the opioid epidemic","volume":"125","author":"Hah","year":"2017","journal-title":"Anesth Analg"},{"key":"10.1016\/j.surg.2023.05.036_bib3","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.cps.2019.12.005","article-title":"The opioid epidemic","volume":"47","author":"Upp","year":"2020","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib4","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/XCS.0000000000000261","article-title":"Intrathecal morphine and effect on opioid consumption and functional recovery after pancreaticoduodenectomy","volume":"235","author":"Burchard","year":"2022","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib5","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1056\/NEJMc1905045","article-title":"Statewide implementation of postoperative opioid prescribing guidelines","volume":"381","author":"Vu","year":"2019","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.surg.2023.05.036_bib6","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2018.5452","article-title":"Ultrarestrictive opioid prescription protocol for pain management after gynecologic and abdominal surgery","volume":"1","author":"Mark","year":"2018","journal-title":"JAMA Network Open"},{"key":"10.1016\/j.surg.2023.05.036_bib7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1245\/s10434-018-6772-3","article-title":"The impact of education and prescribing guidelines on opioid prescribing for breast and melanoma procedures","volume":"26","author":"Lee","year":"2019","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2023.05.036_bib8","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/SLA.0000000000003462","article-title":"Description and impact of a comprehensive multispecialty multidisciplinary intervention to decrease opioid prescribing in surgery","volume":"270","author":"Kaafarani","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib9","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1001\/jamasurg.2017.4436","article-title":"Reduction in opioid prescribing through evidence-based prescribing guidelines","volume":"153","author":"Howard","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib10","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/SLA.0000000000002198","article-title":"An educational intervention decreases opioid prescribing after general surgical operations","volume":"267","author":"Hill","year":"2018","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib11","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jhsa.2018.06.014","article-title":"Opioid prescriber education and guidelines for ambulatory upper-extremity surgery: evaluation of an institutional protocol","volume":"44","author":"Stepan","year":"2019","journal-title":"J\u00a0Hand Surg Am"},{"key":"10.1016\/j.surg.2023.05.036_bib12","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.jsurg.2019.11.010","article-title":"Decreasing postoperative opioid prescribing through education","volume":"77","author":"Nguyen","year":"2020","journal-title":"J\u00a0Surg Educ"},{"key":"10.1016\/j.surg.2023.05.036_bib13","doi-asserted-by":"crossref","first-page":"41","DOI":"10.5055\/jom.2020.0549","article-title":"A\u00a0departmental policy can reduce opioid prescribing after orthopedic surgery","volume":"16","author":"Mears","year":"2019","journal-title":"J\u00a0Opioid Manag"},{"year":"2017","series-title":"Statement on Opioid Abuse Epidemic","key":"10.1016\/j.surg.2023.05.036_bib14"},{"year":"2020","series-title":"Colorectal Surgery and the Opioid Epidemic: Opioid Stewardship and Safe Prescribing Practices","key":"10.1016\/j.surg.2023.05.036_bib15"},{"key":"10.1016\/j.surg.2023.05.036_bib16","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1136\/bmjqs-2015-004411","article-title":"SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process","volume":"25","author":"Ogrinc","year":"2016","journal-title":"BMJ Qual Saf"},{"year":"2021","series-title":"National Center for Injury Prevention and Control- 2020 CDC Opioid NDC and Oral MME Conversion File","key":"10.1016\/j.surg.2023.05.036_bib17"},{"year":"2023","series-title":"OPEN: Opioid Prescribing Engagement Network. OPEN Prescribing Recommendations","key":"10.1016\/j.surg.2023.05.036_bib18"},{"key":"10.1016\/j.surg.2023.05.036_bib19","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1097\/SLA.0000000000003434","article-title":"A\u00a0pathway for developing postoperative opioid prescribing best practices","volume":"271","author":"Howard","year":"2020","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib20","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.jss.2019.03.006","article-title":"Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers","volume":"239","author":"Coughlin","year":"2019","journal-title":"J\u00a0Surg Res"},{"year":"2021","series-title":"Standardizing discharge opioid prescribing within general surgery: a patient safety improvement initiative. Innovations in Care Delivery","author":"Falconer","key":"10.1016\/j.surg.2023.05.036_bib21"},{"key":"10.1016\/j.surg.2023.05.036_bib22","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2018.4234","article-title":"Association of opioid prescribing with\u00a0opioid consumption after surgery in Michigan","volume":"154","author":"Howard","year":"2019","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib23","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.athoracsur.2019.06.019","article-title":"Impact of prescribing on new persistent opioid use after cardiothoracic surgery","volume":"108","author":"Brescia","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.surg.2023.05.036_bib24","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/1748-5908-4-50","article-title":"Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science","volume":"4","author":"Damschroder","year":"2009","journal-title":"Implement Sci"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602300332X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S003960602300332X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:07:47Z","timestamp":1758539267000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S003960602300332X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["S003960602300332X"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2023.05.036","relation":{},"ISSN":["0039-6060"],"issn-type":[{"type":"print","value":"0039-6060"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Are postoperative opioid stewardship protocols sustainable? Results from a 2-year quality improvement project","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2023.05.036","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}