Background: Recently enacted policies in multiple states have placed restrictions on opioid prescription days given the risk of development of chronic opioid therapy with prolonged opioid prescriptions. However, there are still patients who receive an excessive number of opioid prescription days after discharge from the hospital. We studied this population retrospectively to understand which patient-level [...]

Background: Development of opiate use disorder and opiate overdose has been associated with prolonged opiate-days prescribed. Conventionally, opiate-days supplied has been calculated based on the discharge prescription signature (e.g., how a patient is supposed to take the medication) and the number of pills dispensed. It is not clear whether the number of days supplied reflects [...]

Background: In March of 2016, the CDC released guidelines recommending shorter duration of opioid prescriptions. While these guidelines have the potential to influence hospitalist practice, it is not clear whether discharge prescribing patterns have changed for hospitalized patients. We perform an interrupted time series analysis to examine changes in discharge opioid prescribing from an inpatient [...]