A qualitative analysis on the implementation of a nudge intervention to reduce post-surgical opioid prescribing
Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email ‘nudge’ aimed at reducing post-operative opioid prescribing, with the goal of informin...
Saved in:
| Published in | BMC health services research Vol. 25; no. 1; pp. 512 - 15 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
08.04.2025
BioMed Central Ltd BMC |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1472-6963 1472-6963 |
| DOI | 10.1186/s12913-025-12651-7 |
Cover
| Abstract | Background
Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email ‘nudge’ aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts.
Methods
Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness.
Results
Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content.
Conclusions
Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing.
Trial registration
Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. |
|---|---|
| AbstractList | Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email 'nudge' aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts.BACKGROUNDReducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email 'nudge' aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts.Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness.METHODSBetween October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness.Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content.RESULTSFactors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content.Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing.CONCLUSIONSContextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing.Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021.TRIAL REGISTRATIONClinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. Abstract Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email ‘nudge’ aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts. Methods Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness. Results Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content. Conclusions Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing. Trial registration Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email 'nudge' aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts. Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness. Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content. Trial registration Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email ‘nudge’ aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts. Methods Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness. Results Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content. Conclusions Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing. Trial registration Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email 'nudge' aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts. Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness. Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content. Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing. Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email 'nudge' aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts. Methods Between October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness. Results Factors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content. Conclusions Contextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing. Trial registration Clinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. Keywords: Nudges, Behavioral interventions, CFIR, Implementation science, Opioids, Surgeons BackgroundReducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the implementation and outcomes of a successful email ‘nudge’ aimed at reducing post-operative opioid prescribing, with the goal of informing future implementation and dissemination efforts.MethodsBetween October 2021-September 2022, we sent email nudges to general, orthopedic, and obstetrics/gynecology surgeons at 19 hospitals in a large integrated healthcare system in California whose patients had post-operative opioid prescriptions that exceeded guideline-recommended quantities. We then interviewed 36 surgeons between September 2022-January 2023 and coded and themed transcripts and implementation process documents from the study. We used the Consolidated Framework for Implementation Research (CFIR) to understand the contextual factors impacting nudge design, implementation, and effectiveness.ResultsFactors across all five CFIR domains were found to be important in understanding the acceptability, feasibility, and sustainability of the intervention. In the Innovation Domain, key factors included the method of nudge delivery, the validity of comparators, and the design and layout of the nudge itself. The interaction between the nudges and existing state regulations (Outer Setting Domain) caused confusion, while the size, structure, and centralization of hospitals (Inner Setting Domain) influenced communication and leadership engagement, underscoring the need for local champions (Individuals Domain). In the Implementation Process Domain, workflow considerations emerged, e.g., the fact that the surgeon performing the procedure was at times not the discharge prescriber, the need for pre-intervention education, and the importance of ensuring surgeons have a clear process to access additional information when questions arise about nudge content.ConclusionsContextual factors related to how the nudges were implemented influenced their acceptability among surgeons. Future dissemination efforts of similar interventions to curb opioid overprescribing should take these design considerations into account, including how to account for variations in prescribing workflows, the amount of information provided in the nudge, how information is construed, and how the rest of the hospital system can adjust to encourage guideline-supported opioid prescribing at the point of post-surgical discharge. These types of considerations may also apply to other clinician-directed, nudge-based interventions beyond the subject of opioid prescribing.Trial registrationClinicaltrials.gov, Identifier: NCT05070338, Registration Date: October 19, 2021. |
| ArticleNumber | 512 |
| Audience | Academic |
| Author | Kirkegaard, Allison Doctor, Jason N. Bouskill, Kathryn Yan, Xiaowei Sherry Watkins, Katherine E. Martinez, Meghan C. |
| Author_xml | – sequence: 1 givenname: Meghan C. surname: Martinez fullname: Martinez, Meghan C. email: Meghan.martinez@sutterhealth.org organization: Palo Alto Medical Foundation Research Institute & Center for Health Systems Research, Sutter Health – sequence: 2 givenname: Kathryn surname: Bouskill fullname: Bouskill, Kathryn organization: RAND Corporation – sequence: 3 givenname: Xiaowei Sherry surname: Yan fullname: Yan, Xiaowei Sherry organization: Center for Health Systems Research, Sutter Health – sequence: 4 givenname: Allison surname: Kirkegaard fullname: Kirkegaard, Allison organization: RAND Corporation – sequence: 5 givenname: Jason N. surname: Doctor fullname: Doctor, Jason N. organization: Sol Price School of Public Policy, University of Southern California – sequence: 6 givenname: Katherine E. surname: Watkins fullname: Watkins, Katherine E. organization: RAND Corporation |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40200214$$D View this record in MEDLINE/PubMed |
| BookMark | eNp9kktr3DAUhU1JaR7tH-iiGLrpxqlkvVdlCH0EAt20ayFL144GW5pI9kD-fTQzaZIppWghce93jzjcc16dhBigqt5jdImx5J8zbhUmDWpZg1vOcCNeVWeYirbhipOTF-_T6jznNUJYyFa8qU4pahFqMT2r4qq-W8zoZzP7LdQmmPE--1zHUM-3UPtpM8IEYdcupdjXpg6LG0onzJC2pbOrz7FO4BYL9SbmuclLGrw1Yx03PnpXbxJkm3znw_C2et2bMcO7x_ui-v3t66-rH83Nz-_XV6ubxjKO58YaJSnHTtIOO8qsVMp2TPaOYCYM4J47RhSWgjlgqiMUJEa8U641HXfEkovq-qDrolnrTfKTSfc6Gq_3hZgGbdLs7QjaYCIQcT0SSlDOQXXU9ZyzTiHR0g6K1peD1mbpJnC2mE5mPBI97gR_q4e41RgrIRTlReHTo0KKdwvkWU8-WxhHEyAuWRMsJZJEKFXQj3-h67ikspY9JRiVjPBnajDFgQ99LB_bnaheSUJ5WbCQhbr8B1WOg8nbEqbel_rRwIeXTp8s_slLAdoDYFPMOUH_hGCkd6HUh1DqEkq9D6UWZYgchnKBwwDp2dJ_ph4AnMLjuQ |
| Cites_doi | 10.1093/pm/pnac068 10.1093/intqhc/mzg021 10.1136/bmjoq-2024-002750 10.1001/jamanetworkopen.2018.5452 10.1186/s13643-020-01393-8 10.1136/bmj-2022-074256 10.1007/s11606-020-06276-1 10.1016/j.jhealeco.2020.102344 10.1377/hlthaff.2021.01407 10.1001/jamahealthforum.2021.2924 10.2106/JBJS.15.00614 10.1093/pm/pnaa293 10.1097/SLA.0000000000002919 10.1007/s11606-006-0267-9 10.1111/jan.16613 10.1177/1049732316665344 10.1186/1748-5908-4-50 10.1136/bmjopen-2022-061980 10.1016/j.ajem.2013.06.002 10.1016/j.ygyno.2020.02.025 10.1111/1742-6723.13192 10.1001/jamahealthforum.2024.0077 10.1126/science.aat4595 10.1186/s43058-020-00035-3 10.1038/s41467-023-44573-5 10.1177/00031348221111519 10.1001/jamanetworkopen.2018.2908 10.1016/j.jamcollsurg.2018.07.659 10.1097/SLA.0000000000003483 10.1186/s13012-021-01181-5 10.1108/JOEPP-06-2016-0040 10.1056/NEJMra1508490 10.2106/JBJS.OA.19.00050 10.1007/s11606-017-4286-5 10.1016/j.copsyc.2024.101856 10.1016/j.amepre.2015.02.020 10.1186/s13012-023-01306-y 10.15585/mmwr.mm6610a1 10.1016/j.amjsurg.2018.02.001 10.1186/s13012-017-0655-z 10.1001/jamasurg.2017.0831 10.1186/s13012-020-01011-0 10.1186/s13012-022-01245-0 10.1001/jamahealthforum.2022.2263 10.1007/s11606-020-06254-7 10.1111/imj.16121 10.1001/jamanetworkopen.2021.43425 10.1136/bmjopen-2021-048801 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2025 2025. The Author(s). COPYRIGHT 2025 BioMed Central Ltd. 2025. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s) 2025 2025 |
| Copyright_xml | – notice: The Author(s) 2025 – notice: 2025. The Author(s). – notice: COPYRIGHT 2025 BioMed Central Ltd. – notice: 2025. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: The Author(s) 2025 2025 |
| DBID | C6C AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7RV 7WY 7WZ 7X7 7XB 87Z 88C 88E 8FI 8FJ 8FK 8FL ABUWG AFKRA AZQEC BENPR BEZIV CCPQU COVID DWQXO FRNLG FYUFA F~G GHDGH K60 K6~ K9. KB0 L.- M0C M0S M0T M1P NAPCQ PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQBIZ PQBZA PQEST PQQKQ PQUKI PRINS Q9U 7X8 5PM DOA |
| DOI | 10.1186/s12913-025-12651-7 |
| DatabaseName | Springer Nature OA Free Journals CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database ABI/INFORM Collection ABI/INFORM Global (PDF only) Health & Medical Collection ProQuest Central (purchase pre-March 2016) ABI/INFORM Collection Healthcare Administration Database (Alumni) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ABI/INFORM Collection (Alumni) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials - QC ProQuest Central Business Premium Collection ProQuest One Coronavirus Research Database ProQuest Central Business Premium Collection (Alumni) Health Research Premium Collection ABI/INFORM Global (Corporate) Health Research Premium Collection (Alumni) ProQuest Business Collection (Alumni Edition) ProQuest Business Collection ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ABI/INFORM Professional Advanced ABI/INFORM Global Health & Medical Collection (Alumni) Healthcare Administration Database Medical Database Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Business ProQuest One Business (Alumni) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) [Open Access] DOAJ 오픈액세스 저널 디렉토리 |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database ABI/INFORM Global (Corporate) ProQuest Business Collection (Alumni Edition) ProQuest One Business ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Central China ABI/INFORM Complete ProQuest Central ABI/INFORM Professional Advanced ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ABI/INFORM Complete (Alumni Edition) Business Premium Collection ABI/INFORM Global ABI/INFORM Global (Alumni Edition) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Health Management Coronavirus Research Database ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Business Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Health Management (Alumni Edition) ProQuest One Business (Alumni) ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) Business Premium Collection (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE Publicly Available Content Database |
| Database_xml | – sequence: 1 dbid: C6C name: Springer Nature OA Free Journals url: http://www.springeropen.com/ sourceTypes: Publisher – sequence: 2 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 3 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 4 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 5 dbid: BENPR name: ProQuest Central url: http://www.proquest.com/pqcentral?accountid=15518 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Public Health |
| EISSN | 1472-6963 |
| EndPage | 15 |
| ExternalDocumentID | oai_doaj_org_article_a13703df0797466e9b4df665b90724be PMC11977946 A834640278 40200214 10_1186_s12913_025_12651_7 |
| Genre | Randomized Controlled Trial Journal Article |
| GeographicLocations | California United States Los Angeles California United States--US |
| GeographicLocations_xml | – name: California – name: United States – name: Los Angeles California – name: United States--US |
| GrantInformation_xml | – fundername: National Institute of Drug Abuse grantid: R01DA046226; R01DA046226; R01DA046226; R01DA046226; R01DA046226; R01DA046226 – fundername: NIDA NIH HHS grantid: R01 DA046226 – fundername: National Institute of Drug Abuse grantid: R01DA046226 |
| GroupedDBID | --- 0R~ 23N 2WC 44B 53G 5VS 6J9 6PF 7RV 7WY 7X7 88E 8FI 8FJ 8FL AAFWJ AAJSJ AASML AAWTL ABDBF ABUWG ACGFO ACGFS ACIHN ACUHS ADBBV ADUKV AEAQA AENEX AFKRA AFPKN AHBYD AHMBA AHYZX ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AOIJS BAPOH BAWUL BCNDV BENPR BEZIV BFQNJ BMC BPHCQ BVXVI C6C CCPQU CS3 DIK DU5 DWQXO E3Z EAD EAP EAS EBD EBLON EBS EMB EMK EMOBN ESX F5P FRNLG FYUFA GROUPED_DOAJ GX1 HMCUK IAO IHR INH INR ITC K60 K6~ KQ8 M0C M0T M1P M48 M~E NAPCQ O5R O5S OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PJZUB PPXIY PQBIZ PQBZA PQQKQ PROAC PSQYO PUEGO RBZ RNS ROL RPM RSV SMD SOJ SV3 TR2 TUS UKHRP W2D WOQ WOW XSB AAYXX ALIPV CITATION CGR CUY CVF ECM EIF NPM PMFND 3V. 7XB 8FK AZQEC COVID K9. L.- PKEHL PQEST PQUKI PRINS Q9U 7X8 5PM |
| ID | FETCH-LOGICAL-c561t-ca98461d84b1d45c899cb58fd3157ae1f6d5391875de59b34e8106b9d2ab6d3c3 |
| IEDL.DBID | M48 |
| ISSN | 1472-6963 |
| IngestDate | Wed Aug 27 01:24:41 EDT 2025 Thu Aug 21 18:36:46 EDT 2025 Fri Sep 05 17:41:59 EDT 2025 Fri Jul 25 21:02:28 EDT 2025 Tue Jun 17 21:58:04 EDT 2025 Tue Jun 10 21:01:48 EDT 2025 Fri Sep 19 01:51:04 EDT 2025 Tue Aug 05 12:02:26 EDT 2025 Sat Sep 06 07:35:28 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | Behavioral interventions Surgeons Nudges CFIR Implementation science Opioids |
| Language | English |
| License | 2025. The Author(s). Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c561t-ca98461d84b1d45c899cb58fd3157ae1f6d5391875de59b34e8106b9d2ab6d3c3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| OpenAccessLink | http://journals.scholarsportal.info/openUrl.xqy?doi=10.1186/s12913-025-12651-7 |
| PMID | 40200214 |
| PQID | 3187548536 |
| PQPubID | 44821 |
| PageCount | 15 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_a13703df0797466e9b4df665b90724be pubmedcentral_primary_oai_pubmedcentral_nih_gov_11977946 proquest_miscellaneous_3188083799 proquest_journals_3187548536 gale_infotracmisc_A834640278 gale_infotracacademiconefile_A834640278 pubmed_primary_40200214 crossref_primary_10_1186_s12913_025_12651_7 springer_journals_10_1186_s12913_025_12651_7 |
| PublicationCentury | 2000 |
| PublicationDate | 2025-04-08 |
| PublicationDateYYYYMMDD | 2025-04-08 |
| PublicationDate_xml | – month: 04 year: 2025 text: 2025-04-08 day: 08 |
| PublicationDecade | 2020 |
| PublicationPlace | London |
| PublicationPlace_xml | – name: London – name: England |
| PublicationTitle | BMC health services research |
| PublicationTitleAbbrev | BMC Health Serv Res |
| PublicationTitleAlternate | BMC Health Serv Res |
| PublicationYear | 2025 |
| Publisher | BioMed Central BioMed Central Ltd BMC |
| Publisher_xml | – name: BioMed Central – name: BioMed Central Ltd – name: BMC |
| References | CC Wyles (12651_CR32) 2020; 5 BS Last (12651_CR22) 2024; 59 MK Delgado (12651_CR41) 2018; 33 JN Doctor (12651_CR11) 2018; 361 B Prusaczyk (12651_CR48) 2020; 1 T Scott (12651_CR46) 2003; 15 12651_CR37 GD Schwartz (12651_CR43) 2019; 31 AS Navathe (12651_CR16) 2022; 41 BS Last (12651_CR20) 2021; 11 I Ahomäki (12651_CR8) 2020; 72 RH Thaler (12651_CR19) 2008 SG Kertesz (12651_CR51) 2020; 35 HN Overton (12651_CR38) 2018; 227 JS Ancker (12651_CR42) 2021; 36 R Daoust (12651_CR9) 2022; 5 C Dun (12651_CR12) 2023; 89 WM Compton (12651_CR1) 2016; 374 R Shenoy (12651_CR44) 2021; 2 12651_CR49 DR Schweitzer (12651_CR23) 2023; 53 SL Yoong (12651_CR21) 2020; 15 MC Bicket (12651_CR7) 2017; 152 NA Stadnick (12651_CR50) 2023; 18 LJ Damschroder (12651_CR28) 2022; 17 B Levy (12651_CR3) 2015; 49 LJ Damschroder (12651_CR24) 2009; 4 L Schirle (12651_CR6) 2020; 9 KL Kraemer (12651_CR14) 2022; 3 GE Glaser (12651_CR30) 2020; 157 Z Wagner (12651_CR26) 2024; 5 A Johnson (12651_CR45) 2016; 3 JN Doctor (12651_CR10) 2024; 15 J Mark (12651_CR40) 2018; 1 H Gugelmann (12651_CR13) 2013; 31 DDQ Zhang (12651_CR18) 2020; 271 LJ Damschroder (12651_CR36) 2022; 17 CB Stetler (12651_CR25) 2006; 21 WE Norton (12651_CR47) 2017; 12 A Shah (12651_CR2) 2017; 66 MM Hennink (12651_CR35) 2017; 27 SG Weiner (12651_CR5) 2020; 21 12651_CR27 N Kim (12651_CR39) 2016; 98 12651_CR33 A Kirkegaard (12651_CR29) 2022; 12 CA Thiels (12651_CR31) 2018; 268 PP Salvatore (12651_CR4) 2022; 23 CH Saunders (12651_CR34) 2023; 381 BR Meisenberg (12651_CR15) 2018; 1 BK Yorkgitis (12651_CR17) 2018; 215 |
| References_xml | – volume: 23 start-page: 1908 issue: 11 year: 2022 ident: 12651_CR4 publication-title: Pain Med doi: 10.1093/pm/pnac068 – volume: 15 start-page: 111 issue: 2 year: 2003 ident: 12651_CR46 publication-title: Int J Qual Health Care doi: 10.1093/intqhc/mzg021 – volume-title: Nudge: improving decisions about health, wealth, and happiness year: 2008 ident: 12651_CR19 – ident: 12651_CR33 – ident: 12651_CR27 doi: 10.1136/bmjoq-2024-002750 – volume: 1 start-page: e185452 issue: 8 year: 2018 ident: 12651_CR40 publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2018.5452 – volume: 9 start-page: 139 issue: 1 year: 2020 ident: 12651_CR6 publication-title: Syst Rev doi: 10.1186/s13643-020-01393-8 – volume: 381 start-page: e074256 year: 2023 ident: 12651_CR34 publication-title: BMJ doi: 10.1136/bmj-2022-074256 – volume: 36 start-page: 430 issue: 2 year: 2021 ident: 12651_CR42 publication-title: J Gen Intern Med doi: 10.1007/s11606-020-06276-1 – volume: 72 start-page: 102344 year: 2020 ident: 12651_CR8 publication-title: J Health Econ doi: 10.1016/j.jhealeco.2020.102344 – volume: 41 start-page: 424 issue: 3 year: 2022 ident: 12651_CR16 publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2021.01407 – volume: 2 start-page: e212924 issue: 10 year: 2021 ident: 12651_CR44 publication-title: JAMA Health Forum doi: 10.1001/jamahealthforum.2021.2924 – volume: 98 start-page: e89 issue: 20 year: 2016 ident: 12651_CR39 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.15.00614 – volume: 21 start-page: 3669 issue: 12 year: 2020 ident: 12651_CR5 publication-title: Pain Med doi: 10.1093/pm/pnaa293 – volume: 268 start-page: 457 issue: 3 year: 2018 ident: 12651_CR31 publication-title: Ann Surg doi: 10.1097/SLA.0000000000002919 – volume: 21 start-page: S1 issue: Suppl 2 year: 2006 ident: 12651_CR25 publication-title: J Gen Intern Med doi: 10.1007/s11606-006-0267-9 – ident: 12651_CR37 doi: 10.1111/jan.16613 – volume: 27 start-page: 591 issue: 4 year: 2017 ident: 12651_CR35 publication-title: Qual Health Res doi: 10.1177/1049732316665344 – volume: 4 start-page: 50 issue: 1 year: 2009 ident: 12651_CR24 publication-title: Implement Sci doi: 10.1186/1748-5908-4-50 – volume: 12 start-page: e061980 issue: 9 year: 2022 ident: 12651_CR29 publication-title: BMJ Open doi: 10.1136/bmjopen-2022-061980 – volume: 31 start-page: 1343 issue: 9 year: 2013 ident: 12651_CR13 publication-title: Am J Emerg Med doi: 10.1016/j.ajem.2013.06.002 – volume: 157 start-page: 476 issue: 2 year: 2020 ident: 12651_CR30 publication-title: Gynecol Oncol doi: 10.1016/j.ygyno.2020.02.025 – volume: 31 start-page: 417 issue: 3 year: 2019 ident: 12651_CR43 publication-title: Emerg Med Australas doi: 10.1111/1742-6723.13192 – volume: 5 start-page: e240077 issue: 3 year: 2024 ident: 12651_CR26 publication-title: JAMA Health Forum doi: 10.1001/jamahealthforum.2024.0077 – volume: 361 start-page: 588 issue: 6402 year: 2018 ident: 12651_CR11 publication-title: Science doi: 10.1126/science.aat4595 – volume: 1 start-page: 43 year: 2020 ident: 12651_CR48 publication-title: Implement Sci Commun doi: 10.1186/s43058-020-00035-3 – volume: 15 start-page: 263 issue: 1 year: 2024 ident: 12651_CR10 publication-title: Nat Commun doi: 10.1038/s41467-023-44573-5 – volume: 89 start-page: 4379 issue: 11 year: 2023 ident: 12651_CR12 publication-title: Am Surg doi: 10.1177/00031348221111519 – volume: 1 start-page: e182908 issue: 5 year: 2018 ident: 12651_CR15 publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2018.2908 – volume: 227 start-page: 411 issue: 4 year: 2018 ident: 12651_CR38 publication-title: J Am Coll Surg doi: 10.1016/j.jamcollsurg.2018.07.659 – volume: 271 start-page: 266 issue: 2 year: 2020 ident: 12651_CR18 publication-title: Ann Surg doi: 10.1097/SLA.0000000000003483 – volume: 17 start-page: 7 year: 2022 ident: 12651_CR36 publication-title: Implement Sci doi: 10.1186/s13012-021-01181-5 – volume: 3 start-page: 265 year: 2016 ident: 12651_CR45 publication-title: J Organizational Effectiveness: People Perform doi: 10.1108/JOEPP-06-2016-0040 – volume: 374 start-page: 154 issue: 2 year: 2016 ident: 12651_CR1 publication-title: N Engl J Med doi: 10.1056/NEJMra1508490 – volume: 5 start-page: e0050 issue: 1 year: 2020 ident: 12651_CR32 publication-title: JB JS Open Access doi: 10.2106/JBJS.OA.19.00050 – volume: 33 start-page: 409 issue: 4 year: 2018 ident: 12651_CR41 publication-title: J Gen Intern Med doi: 10.1007/s11606-017-4286-5 – volume: 59 start-page: 101856 year: 2024 ident: 12651_CR22 publication-title: Curr Opin Psychol doi: 10.1016/j.copsyc.2024.101856 – volume: 49 start-page: 409 issue: 3 year: 2015 ident: 12651_CR3 publication-title: Am J Prev Med doi: 10.1016/j.amepre.2015.02.020 – volume: 18 start-page: 46 issue: 1 year: 2023 ident: 12651_CR50 publication-title: Implement Sci doi: 10.1186/s13012-023-01306-y – volume: 66 start-page: 265 issue: 10 year: 2017 ident: 12651_CR2 publication-title: MMWR Morb Mortal Wkly Rep doi: 10.15585/mmwr.mm6610a1 – volume: 215 start-page: 707 issue: 4 year: 2018 ident: 12651_CR17 publication-title: Am J Surg doi: 10.1016/j.amjsurg.2018.02.001 – volume: 12 start-page: 144 issue: 1 year: 2017 ident: 12651_CR47 publication-title: Implement Sci doi: 10.1186/s13012-017-0655-z – ident: 12651_CR49 – volume: 152 start-page: 1066 issue: 11 year: 2017 ident: 12651_CR7 publication-title: JAMA Surg doi: 10.1001/jamasurg.2017.0831 – volume: 15 start-page: 50 issue: 1 year: 2020 ident: 12651_CR21 publication-title: Implement Sci doi: 10.1186/s13012-020-01011-0 – volume: 17 start-page: 75 issue: 1 year: 2022 ident: 12651_CR28 publication-title: Implement Sci doi: 10.1186/s13012-022-01245-0 – volume: 3 start-page: e222263 issue: 7 year: 2022 ident: 12651_CR14 publication-title: JAMA Health Forum doi: 10.1001/jamahealthforum.2022.2263 – volume: 35 start-page: 972 issue: Suppl 3 year: 2020 ident: 12651_CR51 publication-title: J Gen Intern Med doi: 10.1007/s11606-020-06254-7 – volume: 53 start-page: 1076 issue: 6 year: 2023 ident: 12651_CR23 publication-title: Intern Med J doi: 10.1111/imj.16121 – volume: 5 start-page: e2143425 issue: 1 year: 2022 ident: 12651_CR9 publication-title: JAMA Netw Open doi: 10.1001/jamanetworkopen.2021.43425 – volume: 11 start-page: e048801 issue: 7 year: 2021 ident: 12651_CR20 publication-title: BMJ Open doi: 10.1136/bmjopen-2021-048801 |
| SSID | ssj0017827 |
| Score | 2.4245908 |
| Snippet | Background
Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting... Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting the... Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting... BackgroundReducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors affecting... Abstract Background Reducing above-guideline opioid prescribing is one approach to reducing the availability of unused opioids. We describe contextual factors... |
| SourceID | doaj pubmedcentral proquest gale pubmed crossref springer |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
| StartPage | 512 |
| SubjectTerms | Analgesics, Opioid - administration & dosage Analgesics, Opioid - therapeutic use Behavioral interventions Beliefs, opinions and attitudes California CFIR Drug therapy Drugs Electronic health records Electronic mail systems Feedback Gynecology Health Administration Health Informatics Hospitals Humans Implementation science Inappropriate Prescribing - prevention & control Intervention Interviews Medical care Medicine Medicine & Public Health Narcotics Nudges Nursing Research Obstetrics Opioids Orthopedics Pain management Pain, Postoperative Pain, Postoperative - drug therapy Patients Practice Practice Patterns, Physicians' - statistics & numerical data Prescribing Public Health Qualitative Research Quality management Surgeons Surgery, Experimental Surgical research |
| SummonAdditionalLinks | – databaseName: [Open Access] DOAJ 오픈액세스 저널 디렉토리 dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQT0gI8SbQIiMhcQCrSfyIfVwQVYUEJyr1ZvmVsgeS1W72_zPjJNtNEeLCNbYlex6emcz4G0LelcKV3LjEhC85E4ZL5kwqWds4X7ZJBp3bdH77ri6vxNdreX3U6gtrwkZ44JFw567iIJSxLRvwfJVKxovYKiU9RHW18Alv39KUczA15Q_A7jXzExmtzndg1bCLQS1ZVStZsWZhhjJa_5938pFRulsweSdrmo3RxSPycPIi6Wrc_WNyL3VPyIPxFxwdXxY9Jf2Kjk8mM7Y3dRP8CO07Cl4fXf-aS8eRN7RvqaPdPt7AyFEdJB16ukV410Q3_W5gu_0235W036z7daRYRwsXD8TXN8_I1cWXH58v2dRfgQXwmgYWnAHvo4pa-CoKYIsxwUvdRl7JxqWqVVFyU0FEE5M0noukIYD0JtbOq8gDf05Our5LLwlVPMB655tQeWFc60LdROlUo4R2UrUF-TCT225GGA2bww-t7MgcC8yxmTm2Kcgn5MhhJkJg5w8gGHYSDPsvwSjIe-SnRUUFpgU3vTeADSPklV1pLpTAxGtBThczQcHCcniWCDsp-M5yJIsAX0cV5O1hGFdi0VqX-n2eo8HDbYwpyItRgA5HwrAd4eoKoheitTjzcqRb_8zw35j4xbYABfk4S-Htvv5O1Ff_g6ivyf0atQhLl_QpORm2-3QGXtng32QF_A3xbDM6 priority: 102 providerName: Directory of Open Access Journals – databaseName: Health & Medical Collection dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3Ni9QwFA-6XgQRv62uEkHwoGHb5qs5ySgui6AnF-YWkiYd52Azzsf_73tpO7td0WuTQJPf-8x7eY-Qt6VwJTcuMuFLzoThkjkTS9Zp58suyrbJbTq_fVcXl-LrUi7HC7fdmFY5ycQsqENq8Y78DGhPg3Utufq4-c2waxRGV8cWGrfJnQosEWzdoJdHh6sC7aenhzKNOtuBbsNeBrVkVa1kxfRMGeWa_X9L5muq6Wba5I3YaVZJ5w_I_dGWpIsB_IfkVuwfkXvDRRwd3hc9JmlBh4eTucI3dWMREpp6CrYfXf-aEsgRIZo66mh_CCsYuZYNSfeJbrHIa6SbtNuz3WGbJSZNm3VaB4rZtCB-wMtePSGX519-fL5gY5cF1oLttGetM2CDVKERvgoCwDGm9bLpAq-kdrHqVJDc4OmHKI3nIjbgRnoTaudV4C1_Sk761MfnhCrewnrndVt5YVzn2loH6ZRWonFSdQV5Px233QzFNGx2QhplB3AsgGMzOFYX5BMicpyJhbDzh7Rd2ZGvrKs4yKzQlRocI6Wi8SJ0SkkPTn8tfCzIO8TTIrsCaK0bXx3AD2PhK7touFACw68FOZ3NBDZr58MTRdiRzXf2iigL8uY4jCsxda2P6ZDnNGDnamMK8mwgoOOW0HnHonUFaWakNdvzfKRf_8xFwDH8i80BCvJhosKr__r3ob74_zZekrs18gemJjWn5GS_PcRXYHXt_evMWn8A7i0rVA priority: 102 providerName: ProQuest – databaseName: Springer Nature OA Free Journals dbid: C6C link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1Lb9QwEB5BkRASqqC8UgoyEhIHiEjiR-zjsqKqkMqJSr1ZduyUPTRZ7eP_M-Nkl02BA9fYlmzPOzPzGeB9IVzBjYu58AXPheEydyYWeVs7X7RRNjo903n5XV1ciW_X8nqEyaFemMP8fanV5zXaI3p_oJJ5WSlZ5vV9eCBR8RI3z9V8nzFAS1fvmmL-um5ieBI-_59a-MAM3S2RvJMnTebn_Akcj34jmw2Efgr3YncCDy_HzPgJPB7-v7GhregZ9DM29EsmYG_mRuwR1ncMXT62uN3VjRNhWN8yx7ptuMGRgyJItunZirBdI1v2602-3q6SomT9ctEvAqMiWtQ6GFzfPIer868_5hf5-LhC3qDLtMkbZ9D1KIMWvgwCaWJM46VuAy9l7WLZqiC5KTGcCVEaz0XUGD16EyrnVeANfwFHXd_FV8AUb3C983VTemFc65qqDtKpWgntpGoz-Li7ebscMDRsij20sgOdLNLJJjrZOoMvRJz9TMK_Th-QLewoTtaVHFVVaIsa4yGlovEitEpJj7F-JXzM4AOR1pKUIv0aNzYb4IYJ78rONBdKUNY1g7PJTJSuZjq8Yw47SvfacroWgY6OyuDdfphWUsVaF_ttmqPRva2NyeDlwEv7I1HMTlh1GegJl03OPB3pFj8T9jdlfelNgAw-7Rjy977-famn_zf9NTyqSHSoQkmfwdFmtY1v0Pna-LdJ6n4Btn8nWg priority: 102 providerName: Springer Nature |
| Title | A qualitative analysis on the implementation of a nudge intervention to reduce post-surgical opioid prescribing |
| URI | https://link.springer.com/article/10.1186/s12913-025-12651-7 https://www.ncbi.nlm.nih.gov/pubmed/40200214 https://www.proquest.com/docview/3187548536 https://www.proquest.com/docview/3188083799 https://pubmed.ncbi.nlm.nih.gov/PMC11977946 https://doaj.org/article/a13703df0797466e9b4df665b90724be |
| Volume | 25 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3di9QwEA_38SKI-G31XCIIPmi1bb4fRHaXOw7BQw4XDl9C0qTrgrbrfoD-907Sdu96ng--LOwmXdr8ZjIznclvEHqZUZMRZXxKbUZSqghLjfJZWgljs8qzUsY2nZ_O-OmMfrxgF3uob3fULeD6xtAu9JOarb6__fXz9wdQ-PdR4SV_twabFXoUFCzNC87yVOyjw5gvCqV89DKrANYwNluhokg5SF5_iObG_xgYqsjn__eufcVsXS-pvJZXjebq5C660_mZeNwKxj205-v76Hb7kg63Z48eoGaM20OVkf0bm46gBDc1Br8QL370xeUBPdxU2OB66-YwcqVSEm8avAoEsB4vm_UmXW9XcTfFzXLRLBwOlbawNUEEPn-IZifHX6anadeBIS3Br9qkpVHgn-ROUps7CsApVVomK0dyJozPK-4YUTnEPM4zZQn1EkJMq1xhLHekJI_QQd3U_gnCnJRwvbGizC1VpjJlIRwzXHAqDeNVgl73y62XLdGGjgGK5LoFRwM4OoKjRYImAZHdzECSHX9oVnPd6Zw2OYH9zFWZgKCJc68sdRXnzKpMFNT6BL0KeOogXABaaboTCXDDgRRLjyWhnIbUbIKOBjNBBcvhcC8RupdgTcKyUPCGeIJe7IbDlaGsrfbNNs6R4AMLpRL0uBWg3SOFwD4Q2iVIDkRr8MzDkXrxLRKEh9RwaByQoDe9FF7e178X9el_QfAM3SqCuoQqJnmEDjarrX8ODtrGjtC-uBAjdDg5Pvt8Dt-mfDqKLztGUR_h83zy9Q938Dl_ |
| linkProvider | Scholars Portal |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR3JbtQw1CrTA0gIsRMoYCQQB4iaxFt8qNAUWk1pO0KolXpz7dgZ5kAyzCLEz_FtPDvJtCmCW6-xk9h-u9-G0OuE6oRI7WJqEhJTSVispUviUmiTlI4VeWjTeTzmo1P6-YydbaDfXS6MD6vseGJg1LYu_B35NuCeAO2aEf5h9iP2XaO8d7VroaHb1gp2J5QYaxM7Dt2vn2DCLXYOPgG832TZ_t7Jx1HcdhmIC9AdlnGhJcjg1ObUpJbC4qQsDMtLS1ImtEtLbhmR_u_WMWkIdTmYUUbaTBtuSUHguzfQJvUXKAO0ubs3_vJ17ccA-Su6VJ2cby9AuvpuChmL04yzNBY9cRi6BvwtGy4Jx6uBm1e8t0Eo7t9Fd1ptFg8b9LuHNlx1H91urgJxk-H0ANVD3KRuhhrjWLdlUHBdYdA-8fR7F8LucQTXJda4WtkJjFyKx8TLGs99mVmHZ_ViGS9W88CzcT2b1lOLfTwvMECw8ycP0em1QOARGlR15Z4gzEkB72sjitRQqUtdZMIyzQWnuWa8jNC77rjVrCnnoYIZlHPVAEcBcFQAjhIR2vUQWc_0pbjDg3o-US1lK50S4Jq2TASYZpw7aagtOWdGJiKjxkXorYen8gwDgFboNu8BFuxLb6lhTiin3gEcoa3eTCD0oj_cYYRqGc1CXZBFhF6th_2bPniucvUqzMlB0xZSRuhxg0DrLfnrA182L0J5D7V6e-6PVNNvoQy5d0D79gQRet9h4cW6_n2oT_-_jZfo5ujk-EgdHYwPn6FbmacVHyiVb6HBcr5yz0EHXJoXLaFhdH7dtP0HzD9uyA |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1Lb9QwELaglSokhKC8AgWMhMQBoibx-xgeq7LQCgkq9WbZsbPsgWS1m_3_jJ1k2RQ4cI1tyfbMeGYyM98g9CqjJiPK-JTajKRUEZYa5bO0FsZmtWeVjG06zy_42SWdX7GrvSr-mO0-hiT7moaA0tR0pytX9yIu-ekGtFToSlCwNC84y1NxEx1KphS4X4dlOf8230USQAOKsVjmrysnCini9v_5Ou-pp-upk9fip1Etze6iO4M9icueAe6hG745RkfnQ8T8GN3u_8vhvtzoPmpL3NdRRsBvbAZMEtw2GExBvPw55pMHguG2xgY3W7eAkb3kSNy1eB0wXz1etZsu3WzX8QHF7WrZLh0OybXwGoHTvXiALmcfv78_S4emC2kFplSXVkaBSZI7SW3uKNBKqcoyWTuSM2F8XnPHiMrBzXGeKUuol-BVWuUKY7kjFXmIDpq28Y8R5qSC9caKKrdUmdpUhXDMcMGpNIzXCXoz3rxe9dgaOvokkuueThropCOdtEjQu0Cc3cyAix0_tOuFHsRMm5zAE-bqTICfxLlXlrqac2ZVJgpqfYJeB9LqIL1Av8oMRQiw4YCDpUtJKKchGpugk8lMkLpqOjwyhx6kfqNJuBYKBhBP0MvdcFgZMtka327jHAlmr1AqQY96XtodKfjyAcMuQXLCZZMzT0ea5Y-ICR6iwaFXQILejgz5e1__vtQn_zf9BTr6-mGmv3y6-PwU3SqCFIUkJnmCDrr11j8D-6yzzwcR_AWbSzQH |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+qualitative+analysis+on+the+implementation+of+a+nudge+intervention+to+reduce+post-surgical+opioid+prescribing&rft.jtitle=BMC+health+services+research&rft.au=Martinez%2C+Meghan+C.&rft.au=Bouskill%2C+Kathryn&rft.au=Yan%2C+Xiaowei+Sherry&rft.au=Kirkegaard%2C+Allison&rft.date=2025-04-08&rft.issn=1472-6963&rft.eissn=1472-6963&rft.volume=25&rft.issue=1&rft_id=info:doi/10.1186%2Fs12913-025-12651-7&rft.externalDBID=n%2Fa&rft.externalDocID=10_1186_s12913_025_12651_7 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1472-6963&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1472-6963&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1472-6963&client=summon |