“…Such processes could be improved by ensuring a more dedicated focus on proper opioid prescribing practices, particularly with respect to specialty groups such as surgeons, pain management specialists, and psychiatrists. Peer review systems have been occasionally criticized for being ineffective or arbitrary, but studies show measurable improvement associated with implementing and maintaining these systems, including with regard to opioid prescribing [21, 22, 25, 60, 85]. Institutional quality assurance programs can identify and remedy patterns of harmful underprescribing, as well as overprescribing of opioids and other medications.…”