JAMA internal medicine
-
JAMA internal medicine · Sep 2017
Randomized Controlled TrialImproving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Care: A Cluster-Randomized Clinical Trial.
Prescription opioid misuse is a national crisis. Few interventions have improved adherence to opioid-prescribing guidelines. ⋯ A multicomponent intervention improved guideline-concordant care but did not decrease early opioid refills.
-
JAMA internal medicine · Sep 2017
Randomized Controlled TrialEffects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implementation Trial of the INTERACT Program.
Medicare payment initiatives are spurring efforts to reduce potentially avoidable hospitalizations. ⋯ Training and support for INTERACT implementation as carried out in this study had no effect on hospitalization or ED visit rates in the overall population of residents in participating NHs. The results have several important implications for implementing quality improvement initiatives in NHs.