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65, 95% confidence interval[CI] 1.09-2.49; = .02), general surgery vs. acute care surgery service (AOR 1.89, 95% CI 1.15-3.10; = .01), oxycodone vs. hydrocodone (AOR1.90, 95% CI1.06-3.41; = .03), and nonphysician provider vs. resident prescriber (AOR2.10, 95% CI1.14-3.11; .01). Opioid prescribing significantly reduced after the adoption of opioid prescribing guidelines at our institution. Numerous factors associated with provider guideline nonadherence may identify actionable targets to minimize opioid overprescribing further. O

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