PDMP & Opioid Abuse News

PDMP & Opioid Abuse News
- Kitgum district registers surge in number of girls indulging in drug abuse 07 Aug 2022 18:34 Independent (Uganda) Kitgum, Uganda | THE INDEPENDENT | The number of underage girls indulging in illicit drugs in Kitgum is twice the number of boys. Statistics from Kitgum district probation and social welfare department show that at least 49 girls were locked up from …
- 'Race Against Drugs' | Father starts racing event to honor late son and raise awareness of drug abuse 07 Aug 2022 09:16 WFMY The event's goal is to raise awareness about drug overdoses in the community. SOPHIA, N.C. — A former race car driver is putting together "Race Against Drugs" in honor of his son who died of a drug overdose earlier this year. Mike Loomis is …
- Once feared, illicit fentanyl is now a drug of choice for many opioids users 07 Aug 2022 08:34 NBC News One of the deadliest street drugs, illicit fentanyl, has transitioned from a hidden killer that people often hope to avoid to one that many drug users now seek out on its own. The shift to intentional use of fentanyl underscores a worrying trend in the …
- The Youth Zone with Zero Suppliers: Drug abuse 07 Aug 2022 01:18 The Sunday News The Sunday News Blessing Ncube, Tshebetshebe Elementary School Drug abuse,drug abuse! The two words we refuse You destroy the lives of young ones And leave us with no loved ones Oh! What a curse you are upon us Drug abuse, drug abuse! How can we get id of …
- Baronda seeks to institutionalize anti-drug abuse councils 05 Aug 2022 22:57 Panay News ILOILO City – Iloilo City Lone District Rep. Julienne Baronda refiled a bill that seeks to institutionalize the anti-drug abuse councils (ADACs) across the country. House Bill 756 mandates all local government units (LGUs) – from provinces to cities, …
- Drug abuse resources available 05 Aug 2022 17:03 The Fountain Hills Times - Arizona The community is reminded that the Fountain Hills Drug Prevention Coalition has several resources available at no cost to citizens in an effort to prevent or curb drug use in town. The first resource is “Early Action Kits,” which are drug testing kits …
- Police create awareness of drug abuse among students 05 Aug 2022 13:14 The Hindu The Madurai City Police conducted an awareness programme against drug abuse at Al-Ameen Higher Secondary School in K. Pudur here on Friday. Addressing the students of Classes X to XII, Inspector of Police N. Durai Pandian, attached to K. Pudur Police …
- UAE Imposes High Fine, Jail on People Who Fund Drug Abuse 05 Aug 2022 08:31 Al Bawaba Those who fund drug abuse could face imprisonment, as well as a fine of not less than Dh50,000. The Abu Dhabi Judicial Department, in a recent social media post, reminded the public that those who deposit, transfer (by themselves or by others) or accept …
- Drug Abuse Testing Market Size, Future Business Trends, Upcoming Demand, Innovations And Regional Outlook And Forecast 2022-2031 05 Aug 2022 08:28 MENAFN (MENAFN- America News Hour) Kenneth Research has recently added a report titled Drug Abuse Testing Market in its storehouse of market research reports. The report provides a detailed insight into the market scenario on the basis of the market size and …
- Drug abuse rehab center in Nueva Ecija as detention facility for BuCor’s prisoners? 05 Aug 2022 06:25 Manila Bulletin The Department of Justice (DOJ) has disclosed plans to convert the Mega Drug Abuse Treatment Rehabilitation Center (MDATRC) in Fort Magsaysay in Palayan City, Nueva Ecija into a detention facility for prisoners of the Bureau of Corrections (BuCor). DOJ …
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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.
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.
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.
Prescription drug monitoring programs (PDMPs) are now active in most states to assist clinicians in identifying potential controlled drug misuse, diversion, or excessive prescribing. Little is still known about the ways in which they are incorporated into workflow and clinical decision making, what barriers continue to exist, and how clinicians are sharing PDMP results with their patients.
Design
Qualitative data were collected through online focus groups and telephone interviews.Setting
Clinicians from pain management, emergency and family medicine, psychiatry/behavioral health, rehabilitation medicine, internal medicine and dentistry participated.Patients
Thirty-five clinicians from nine states participated.Methods
We conducted two online focus groups and seven telephone interviews. A multidisciplinary team then used a grounded theory approach coupled with an immersion–crystallization strategy for identifying key themes in the resulting transcripts.Results
Some participants, mainly from pain clinics, reported checking the PDMP with every patient, every time. Others checked only for new patients, for new opioid prescriptions, or for patients for whom they suspected abuse. Participants described varied approaches to sharing PDMP information with patients, including openly discussing potential addiction or safety concerns, avoiding discussion altogether, and approaching discussion confrontationally. Participants described patient anger or denial as a common response and noted the role of patient satisfaction surveys as an influence on prescribing.Conclusion
Routines for accessing PDMP data and how clinicians respond to it vary widely. As PDMP use becomes more widespread, it will be important to understand what approaches are most effective for identifying and addressing unsafe medication use.
Always check the medical record… and a prescription drug monitoring database.
PDMPs have many limitations in their current format, including complex access issues, timeliness, and whether the data are presented to the physician automatically or require physician effort to retrieve.
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.
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.
What prescribers can do to safely and effectively use opioids for CNCP (includes the following)
- Screen for prior or current substance abuse/misuse
- Do not use concomitant sedative–hypnotics or benzodiazepines
- Track daily MED using an online dosing calculator
- Use the state Prescription Drug Monitoring Program to monitor all sources of controlled substances
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
Attention to patterns of prescription requests and the prescribing of opioids as part of an ongoing relationship between a patient and a healthcare provider can decrease the risk of diversion. Periodic review of state PDMP, where available, is also a useful tool to monitor compliance. Evaluation should initially include…a drug history… Documentation is essential.
Prescription drug monitoring programs (PDMPs) are now active in most states to assist clinicians in identifying potential controlled drug misuse, diversion, or excessive prescribing. Little is still known about the ways in which they are incorporated into workflow and clinical decision making, what barriers continue to exist, and how clinicians are sharing PDMP results with their patients.
Design
Qualitative data were collected through online focus groups and telephone interviews.Setting
Clinicians from pain management, emergency and family medicine, psychiatry/behavioral health, rehabilitation medicine, internal medicine and dentistry participated.Patients
Thirty-five clinicians from nine states participated.Methods
We conducted two online focus groups and seven telephone interviews. A multidisciplinary team then used a grounded theory approach coupled with an immersion–crystallization strategy for identifying key themes in the resulting transcripts.Results
Some participants, mainly from pain clinics, reported checking the PDMP with every patient, every time. Others checked only for new patients, for new opioid prescriptions, or for patients for whom they suspected abuse. Participants described varied approaches to sharing PDMP information with patients, including openly discussing potential addiction or safety concerns, avoiding discussion altogether, and approaching discussion confrontationally. Participants described patient anger or denial as a common response and noted the role of patient satisfaction surveys as an influence on prescribing.Conclusion
Routines for accessing PDMP data and how clinicians respond to it vary widely. As PDMP use becomes more widespread, it will be important to understand what approaches are most effective for identifying and addressing unsafe medication use.
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.
The use of PDMPs…is helping to reduce misuse of prescription drugs.
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 information provided had an important impact.
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.
When a clinician is prescribing a controlled substance, readily available information about the drugs that a patient is receiving from other providers can be a critically important component of the decision-making process…Increasingly, these [PDMP] programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance.
Increasingly, these programs have evolved into a useful tool for the clinician who must incorporate careful risk management into the prescribing of opioid analgesics or any other controlled substance Prescription Drug Monitoring Programs Serve a Vital Clinical Need.
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.
Use of a state PDMP may help identify patients who are at high risk for 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%.
You’re not only reducing the supply [of pain medications] for those who use them inappropriately, but also for those in need.