Dr. Murphy reported to the board that both clinic sites see roughly 100 to 120 patients per day and checks the Prescription Drug Monitoring Program database (PDMP) 20-30 times each day.

However, the board points to information from the database, which is starkly different. During the period between January and April 15, 2015, “PDMP records reflect that Dr. Murphy or his office accessed the PDMP site 190 times on 7,000 patients visits. Thus, with an average of 91 patients per day, the PDMP was checked less than five times per day.”

Follow Prescription Advisory

Although relieving pain and reducing suffering are primary emergency physician responsibilities, there is a concurrent duty to limit the personal and societal harm that can result from prescription drug misuse and abuse.

Pain Management / Clinical PolicyACEP Annals of Emergency Medicine 525, October 2012

Effective monitoring systems [PDMPs] will augment clinical judgment, provide evidence of misuse, and facilitate prescription of the most appropriate analgesic for the situation…The Emergency Department is regarded as the nation’s safety net…the last bastion of around-the-clock access to care … Unfortunately, some of the solutions to opioid misuse [limiting ED physicians to 3-day opioid prescriptions] preempts judgments from trained emergency medical providers.

American College of Physicians, Annals of Internal Medicine, 9 April 2013
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