Medscape’s Robert Lowes recently published an article detailing opioids’ prominent role in medication malpractice claims. Much of the press around the opioid crisis covers the deaths, hospitalizations, and substance use disorder problems. All of these can...
Opioid analgesics have a way of getting physicians as well as patients into trouble. These painkillers account for more medical-malpractice claims related to drug errors than any other drug class, according to a new study released today by the medical liability...
Jenkintown, PA – August 22, 2017 – PastRx, a clinical decision support service that’s fight substance abuse, today announced a partnership with athenahealth, Inc. through athenahealth’s ‘More Disruption Please’ (MDP) program. As part of the athenahealth® Marketplace,...
Patients with opioid use disorder are much more likely than the general population to have a host of other health conditions, including hepatitis C, post-traumatic stress disorder, and anxiety. That’s according to a new analysis from health care company Amino, which...
The AMA recently reported that PDMP checks rose to 136m last year, and that’s a step in the right direction. But, using recent annual data, we had more than 900m patient encounters and over 4 billion prescriptions were filled. Even if we assume all 136m checks...
Doctors (and other clinicians) need to know what prescriptions have been given to their patients by other practitioners. This information should be included in the patients’ electronic health care records accessible through a Prescription Drug Monitoring Program (PDMP) that provides immediate information.
Presentation by the Dir., Div. of Epidemiology NIH, National Institute on Drug Abuse, May 2013
The AAOS recommends the following tools, which have been shown to significantly reduce medication errors:
computerized physician order entry
computerized decision support systems
computerized monitoring of adverse drug events
high-risk drug protocols
Overdose deaths are “just the tip of the iceberg”: that for every death there are many more hospital treatment admissions, emergency room visits, people who abuse or are dependent on prescripti…
American Psychological Association
Thirteen multi-state PDMP projects were sponsored in 2012-13. While providers indicated that PDMPs gave them more confidence for prescribing pain medication, the study concluded that the easier the data is to obtain, the more they will be used, and the safer the practice can be.
Substance Abuse & Mental Health Services AdministrationOffice of the National Coordinator for Health IT, & MITRE Corp
Always check the medical record… and a prescription drug monitoring database.
Federation of State Medical Boards
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
Emergency Physicians must balance under-treatment of pain with concerns about drug diversion and doctor shopping. Use of a state PDMP may help identify patients who are at high risk for prescription opioid diversion or doctor shopping… To quantify the effects of PDMPs, studies were conducted of ED providers who cared for adult patients with pain. Of the patients with complete data in one study, information from the state’s PDMP System altered prescribing practice in 41%. Knowledge of the i…
ACEP - Annals of Emergency Medicine – 525
Whenever possible, orthopaedic surgeons should request and review old medical records and speak with the patient’s primary physician about past medication problems. Currently, states have Prescription Drug Monitoring Programs designed to assist law enforcement in the identification of doctor shoppers; these data are also accessible to physicians.
American Academy of Orthopaedic Surgeons, Now, March 2014
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
Center for Disease Control and Prevention
The use of PDMPs…is helping to reduce misuse of prescription drugs.
PDMP Center of Excellence at Brandeis University, February 2014 Briefing
The abuse of opioid pain medication has a devastating impact on public health and safety in this country, killing 46 people every day… Prescription Drug poisoning deaths – now over 30,000/yr – outnumber deaths from motor vehicle crashes.
National Center for Health Statistics/CDC
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