PDMP & Opioid Abuse News
PDMP & Opioid Abuse News
- Drug abuse rates low in teens from Asia and African American... 04 Aug 2021 21:25 Health Jockey Though every person we know may not indulge in drugs, it’s only when an extensive survey is conducted do we know the exact figures. Such a study conducted by experts from the Duke University has revealed that drug abuse is a significant issue for whites, …
- Commission to Combat Drug Abuse meets Thursday 03 Aug 2021 16:19 1340 AM WBIW - Indiana INDIANA – Indiana’s Commission to Combat Drug Abuse will meet Thursday morning at the Indiana Government Center South, Conference Rooms B, and C. At the meeting, the executive director for Drug Prevention, Treatment, and Enforcement Douglas Huntsinger and …
- Driver allegedly found with opioids in North Kawartha charged with breaching bail 03 Aug 2021 14:09 My Kawartha A driver in North Kawartha Township has been charged after police say they were found allegedly breaching their conditions and possessed a controlled substance. Members of the Peterborough County OPP stopped a vehicle on Highway 28 for a Highway T
- Arunachal Pradesh: Jongphohate- Scripting Success Against Drug Abuse 03 Aug 2021 11:35 Northeast Today Tanu Bulo, Arunachal Pradesh What you see neatly lined up are not artifacts from a museum, although the smoking pipe with its uniqueness and character, deserves a place on an Art Wall. The smoking pipes on display are a symbolic representation of people’s …
- Heroin, cocaine and opioids among drugs found in cop's desk in Fall River 02 Aug 2021 23:04 WPRI 12 - Rhode Island FALL RIVER, Mass. (WPRI) — On Feb. 17, a confidential informant contacted the Fall River Police Department with an accusation that’s since sent the seaside city into turmoil: Det. Joshua Robillard is “giving drugs to an informant.” Fast forward five months …
- 17 per cent of Ogun population engage in drug abuse – NDLEA boss, Marwa 02 Aug 2021 19:18 Daily Post The Chairman and Chief Executive Officer of the National Drug Law Enforcement Agency (NDLEA), Brig. General Buba Marwa (rtd), has said about 17% of those in Ogun State engage in abuse of drugs and other substances. Marwa said this on Monday, when he paid a …
- “We are losing control”: Super potent, unpredictable street opioids have claimed more lives in Canada 02 Aug 2021 04:41 Justice News Flash Edmonton-Thanks to the super potent and deadly mixture of fentanyl, the supply of opioids on the streets of Canada has become more and more toxic, unpredictable and contaminated, which has prompted a renewed call for a safe supply program to help renew …
- 'We're losing control': Ultra-potent, unpredictable street opioids are claiming more lives in Canada 02 Aug 2021 02:17 CTV News EDMONTON -- Canada's street supply of opioids is becoming increasingly toxic, unpredictable and contaminated thanks to ultra-potent and deadly mixtures of fentanyl, prompting renewed calls for safe supply programs that could help regain control of the …
- Year-long campaign against alcohol and drug abuse planned 01 Aug 2021 20:45 The Hindu Ernakulam, which has been identified as one of the most liquor-addicted districts in the country, has 2,300 hotspots of alcohol and drug abuse, as per a survey conducted by the Social Justice Department in association with Kudumbashree. The findings of the …
- Drug Abuse: NDLEA arrests 5,000 offenders, convicts 500 31 Jul 2021 21:17 News Diary Online The National Drug Law Enforcement Agency (NDLEA), says it has arrested no fewer than five thousand suspects and secured 500 convictions between January and May for drug abuse and trafficking. The agency’s Chief Executive Officer, Retired Brig.-Gen. Mohamed …
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.
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.
You’re not only reducing the supply [of pain medications] for those who use them inappropriately, but also for those in need.
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.
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%.
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
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.
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.
An improved PDMP … with accurate and timely data analysis should be regarded as the cornerstone of our collective efforts to address prescription drug abuse.
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.
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.
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.
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.
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.
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.
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.
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.
The use of PDMPs…is helping to reduce misuse of prescription drugs.
The CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.