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 insurer Coverys that illustrates the far-reaching effects of the opioid abuse epidemic. The company analyzed more than 10,000 closed malpractice claims from 2012 through 2016.

Twenty-four percent of medication-related claims involved opioids, even though these drugs accounted for only about 5% of prescription drugs dispensed in 2016, according to published data from QuintilesIMS, a firm that tracks pharmaceutical activity. The next riskiest drug class identified by Coverys was anticoagulants, at 14% of medication-related claims.

In claims involving opioids, “overdoses are primarily what we see,” said study co-author Robert Hanscom, vice president of business analytics at Coverys. Some claimants also alleged that they became addicted to painkillers. In more than a third of the opioid-related claims, the mistake occurred during the follow-up phase of prescribing.

Follow Prescription Advisory

Recommendations for full use of PDMP include:

  • PDMPs can be effective clinical tools in medication management involving controlled substances.
  • PDMPs should be available for clinicians across state boundaries.
  • Every prescribing clinician should be familiar with the process of accessing and utilizing information from PDMP’s so that they can incorporate this information in their practices.

American Society of Addiction Medicine

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
  • pharmacist-assisted rounds
  • 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 prescription drugs and nonmedical users.

American Psychological Association

David is Prescription Advisory’s Chief Marketing Officer. Software startups are his passion.

He also serves as the Director of Startup Grind Princeton and a mentor for the Princeton University eLab.

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