Outpatient Surgery Magazine

Special Edition: Opioids - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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zero, opioids to the patient, the patient will feel more post-operative pain and be less satisfied with their care. They also want to avoid patients' request for refills, so they provide more pills than necessary up front, just in case. Dr. Brummett and his colleagues have found these concerns to be base- less. "Our group and others have shown that there really does not appear to be an association between the number of opioid pills prescribed and patient satisfaction for their care — or their likelihood of refill," he says. Individualized regimens While much work has been put into standardizing prescriptions based on procedure type, there's a complementary factor that still needs work: tailoring opioid prescriptions not only to procedures, but also to individual patients. "We need to learn a little bit more about which patients are going to require more pills than others," says Dr. Hannon. Standardizing prescriptions by procedure type makes things a lot easier from an administrative point of view, but tailoring those stan- J A N U A R Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 3 7 • hernia repair (minor or major) 0-10 • sleeve gastrectomy 0-10 • laparoscopic cholecystectomy 0-10 • prostatectomy 0-10 • open cholecystectomy 0-15 • colectomy (lap or open) 0-15 • hysterectomy 0-15 • open small bowel resection 0-20 • total hip arthroplasty 0-30 • total knee arthroplasty 0-50 Full guidelines available at no cost at michigan-open.org/prescribing-recommendations

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