{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:32:20Z","timestamp":1777447940694,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Opioid addiction remains a public health crisis. We aimed to create an electronic medical record (EMR) based protocol to decrease post-operative prescribing of opioid medications and streamline the ordering process while maintaining adequate pain control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An order set was created to minimize opioid prescriptions. The post-operative prescribing practices for minor urologic procedures (MUOs) over 6-week periods at three time points were compared: one period before and two periods after implementation of the order set.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>72 MUOs were performed in the pre-implementation, 52 in post-implementation, and 60 in the long-term period. Opioid medications were prescribed for 66 patients (91.7%) pre-implementation, 23 patients (44.2%) post-implementation, and 45 patients (75.0%) at the long-term time point ( P &lt; .0001 and P = .015 respectively). The mean morphine milligram equivalent (MME) prescribed was 81.52 units before implementation, 38.74 units after, and 24.21 units at the long-term time point ( P = .0002 and P &lt; .0001 respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The integration of a post-operative prescribing order set into our EMR substantially decreased opioid prescribing after MUO while streamlining the ordering process to improve efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221148371","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T06:44:40Z","timestamp":1673246680000},"page":"539-545","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Post-Operative Order Set Decreases Opioid Prescriptions and Increases Efficiency"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7027-4379","authenticated-orcid":false,"given":"Jenna N.","family":"Bates","sequence":"first","affiliation":[{"name":"Department of Urology, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjay K.","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Urology, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy M.","family":"Auerbach","sequence":"additional","affiliation":[{"name":"Department of Urology, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ujval I.","family":"Pathak","sequence":"additional","affiliation":[{"name":"Department of Urology, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nhi","family":"Hoang","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey VA Medical Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer M.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Urology, Baylor College of Medicine, Houston, TX, USA"},{"name":"Michael E. DeBakey VA Medical Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"issue":"10","key":"bibr1-00031348221148371","first-page":"S200","volume":"24","author":"Hagemeier NE","year":"2018","journal-title":"Am J Manag Care"},{"key":"bibr2-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.13.1710"},{"key":"bibr3-00031348221148371","unstructured":"U.S. Opioid dispensing rate maps | Drug overdose. Atlanta, GA: CDC Injury Center. https:\/\/www.cdc.gov\/drugoverdose\/maps\/rxrate-maps.html. Accessed 6 June 2021."},{"key":"bibr4-00031348221148371","unstructured":"Overdose death rates. Baltimore, MD: National Institute on Drug Abuse (NIDA). https:\/\/www.drugabuse.gov\/drug-topics\/trends-statistics\/overdose-death-rates. Accessed 6 June 2021."},{"key":"bibr5-00031348221148371","unstructured":"New strategies for post-operative pain management. https:\/\/grandroundsinurology.com\/new-strategies-for-post-operative-pain-management\/. Accessed 6 June 2021."},{"key":"bibr6-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.02.020"},{"key":"bibr7-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0130"},{"key":"bibr8-00031348221148371","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6610a1"},{"key":"bibr9-00031348221148371","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2018.00093"},{"key":"bibr10-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.5452"},{"key":"bibr11-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.08.016"},{"key":"bibr12-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0831"},{"key":"bibr13-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002919"},{"key":"bibr14-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.11.019"},{"key":"bibr15-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517693665"},{"key":"bibr16-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pny125"},{"key":"bibr17-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1089\/end.2019.0362"},{"key":"bibr18-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002789"},{"key":"bibr19-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002272"},{"key":"bibr20-00031348221148371","first-page":"1","volume":"44","author":"Lovecchio F","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"bibr21-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.2083"},{"key":"bibr22-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820911721"},{"key":"bibr23-00031348221148371","doi-asserted-by":"publisher","DOI":"10.1089\/end.2019.0552"},{"key":"bibr24-00031348221148371","volume-title":"Rationale and Strategies for Reducing Urologic Post-operative Opioid Prescribing [White Paper]","author":"Robles J","year":"2021"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148371","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221148371","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221148371","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:20Z","timestamp":1777379780000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221148371"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,9]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/00031348221148371"],"URL":"https:\/\/doi.org\/10.1177\/00031348221148371","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,9]]}}}