Effects of a Revision to the Standard Admission Order Set on Laxative Prescribing for Opioid-Induced Constipation
Shila Pandey, Jessica I. Goldberg, Kelly Haviland · 2024
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Description
Shila Pandey, Jessica Goldberg, and Kelly Haviland present a 2024 quality improvement report on laxative prescribing for cancer patients. Opioid pain drugs very often cause constipation, which harms comfort and quality of life. Guidelines favor osmotic and stimulant laxatives, yet doctors still order a softener, docusate, that guidelines advise against.
The team changed the standard admission order set in the electronic record. Docusate was removed and replaced with senna and polyethylene glycol. Nearly 2,750 admissions before the change were compared with a similar number after. Orders for docusate and its blends fell sharply, as did recorded constipation diagnoses. Orders for the favored drugs did not rise much, hinting that clearer defaults changed habits most.
Catalog record
| CREATOR | Shila Pandey, Jessica I. Goldberg, Kelly Haviland |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 24 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |