AANS Beyond 2021: Full Collection-Opioid Use and Discrepancies in the Electronic Medical Record in Patients Undergoing Elective Spine Surgery

Opioid Use and Discrepancies in the Electronic Medical Record in Patients Undergoing Elective Spine Surgery

Video Transcription

Video Summary

The video discusses a project conducted at the UCSF School of Medicine on opioid use and discrepancies in the electronic medical record (EMR) in patients undergoing elective spine surgery. The study found that preoperative opioid use recorded in the EMR was inaccurate for over 50% of patients, and underestimated for 25.3% of patients compared to data from the Controlled Substance Utilization Review and Evaluation System (CURES). CURES data showed that 31.3% of patients had daily opioid use greater than 50 morphine milligram equivalents (MME), indicating moderate risk, and 17.2% had daily use greater than 90 MME, indicating high risk. The study also found that patients taking two opioid medications were more likely to have higher opioid use. The researchers recommend the use of multiple opioid medications as a screening tool for moderate to high risk preoperative opioid use in elective spine surgery. <br /><br />Credits: <br />- Dr. Daniel Cummins, UCSF School of Medicine <br />- Dr. Sigrid Berven, UCSF Department of Orthopedic Surgery

Keywords

UCSF School of Medicine

opioid use

elective spine surgery

electronic medical record

CURES data