Encouraging Judicious Prescribing of Opioids in Los Angeles County

Status Completed

Clinical Trial Summary

In collaboration with the Los Angeles County Medical Examiner's Office and the State of California's controlled Substance Utilization Review and Evaluation System (CURES), the investigators propose to review opioid poisonings over 12 months and send letters to prescribers in California when at least one of the provider's prescription(s) was filled by a patient who died of an opioid poisoning in Los Angeles County. The letters will be non-judgmental and factual, explaining that a patient of the provider who was being treated with prescription narcotics died of an opioid poisoning. The letters will also encourage judicious prescribing including use of the CURES system before prescribing. The investigators will evaluate physician prescribing practices over 24 months (12 months pre- and 12 months post-letter) using data from the CURES database. The investigators' hypothesis is that letters will make the risk of opioids more cognitively available and that physicians will respond by prescribing opioids more carefully, resulting in fewer deaths due to misuse and more frequent use of the CURES system.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Substance-Related Disorders

Clinical Trial Details

NCT number	NCT03856593
Study type	Interventional
Source	University of Southern California
Contact
Status	Completed
Phase	N/A
Start date	April 5, 2019
Completion date	August 8, 2021

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