Infants in Drug Withdrawal: A National Description of Nurse Workload, Infant Acuity, and Parental Needs
In the Journal of Perinatal and Neonatal Nursing, Jessica Smith and colleagues, including Jeannette Rogowski and Eileen Lake, investigate how infants in drug withdrawal compare with nondrug withdrawal infants to inform proper nurse assignments based on infant acuity and parental needs. Though not commonly recognized, a troubling aspect of the opioid epidemic is increased drug use among pregnant women, which has led to an increase in infants who are...
Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities and Prescribing Behavior in Two Emergency Departments
Setting a low quantity of opioid tablets as the default option in electronic medical record prescribing orders may “nudge” clinicians to prescribe fewer opioids. When two emergency departments implemented a 10-tablet default instead of a manual entry, the proportion of 10-tablet prescriptions written more than doubled, from 20.6% to 43.3%. Conversely, 20-tablet prescriptions decreased from 22.8% to 16.1%, and prescriptions for 11-19 tablets decreased from 33.5% to 20.1%.
[reposted from the CHERISH blog]
In the International Journal of Health Economics and Management, Benjamin Ukert examines short- and long-term effects of quitting smoking on alcohol consumption. Most interventions have focused on reducing either cigarette or alcohol consumption to address the severe health and economic consequences of both risky behaviors, while ignoring how they interact.
To estimate the relationship between smoking and alcohol consumption, the author utilizes data from the Lung Health Study (LHS), a randomized smoking...
In a groundbreaking announcement, 12 large insurers, covering over 240 million lives, pledged to adopt eight evidence-based “National Principles of Care” for the treatment of substance use disorder (SUD). The initiative is designed to improve care for the 21 million Americans who have an SUD, only 11% of whom receive any treatment at all.