PDMP & Opioid Abuse News
PDMP & Opioid Abuse News
- Rehder urges Missourians to get involved to pass PDMP legislation (AUDIO) 02 Dec 2020 21:02 Missourinet A veteran southeast Missouri lawmaker who is heading to the Senate in January has filed prescription drug monitoring program (PDMP) legislation for the ninth consecutive year. State Rep. Holly Rehder, R-Scott City, speaks on the Missouri House floor in …
- Counterfeit Opioids Could Be Factor In Death Of 2 North Texas Teenagers 02 Dec 2020 17:40 CBS Dallas - Texas WEATHERFORD (CBSDFW.COM) – Police are investigating the recent deaths of two teenagers in Weatherford, saying they could be linked to counterfeit opioid drugs or other counterfeit prescription medication. Police found the first teen on November 18 after …
- How Megan Fox Is Helping Machine Gun Kelly Work Through His Drug Abuse Issues 02 Dec 2020 17:22 Cinema Blend This past year has been rough for many of us but, for some, it’s been a year of discovery and personal breakthroughs. This has certainly been the case for Machine Gun Kelly, as the rapper and actor has managed to grow both professionally and personally. …
- Ocean County MHA helping those impacted by opioids find jobs 02 Dec 2020 14:29 WOBM New Jersey The Mental Health Association of Ocean County is helping those impacted by opioid addiction get back on their feet again and support their families. The Mission of Pathways to Success program will prepare you for the workforce through education and support …
- Pediatricians Announce New Guidelines For Giving Children Opioids 01 Dec 2020 18:08 AboutLawsuits.com A panel of pediatricians has issued new guidelines, which focus on when it is appropriate to prescribe opioids to children and teens, as well as what steps should be taken to protect them from the powerful and addictive pain medications. The opioids crisis …
- Doctors given new guidelines for prescribing opioids to kids following surgery 01 Dec 2020 17:04 Fox 31 Denver - Colorado DENVER (KDVR) — In an effort to help curb the ever expanding opiate crisis in our state and country, doctors now have a new set of guidelines to follow when it comes to how they should go about prescribing opioids to children. The guidelines were just …
- New health care model predicts opioid abuse and overdose 01 Dec 2020 13:30 Bizjournals
- North-East region breeding ground for drug abuse – NEDC 30 Nov 2020 15:41 The Citizen (Nigeria) The Managing Director of the North-East Development Commission (NEDC), Alhaji Mohammed Alkali, has stated that the adverse effects caused by the insurgency in the North-east region on youths have made the region a breeding ground for crimes and drugs abuse …
- Bill debated requiring monitoring for doctors prescribing opioids 30 Nov 2020 07:28 KUAM - Guam He says narcotics prescriptions are strictly controlled, adding, "These physicians have many, many years of training, they're really good people. And this will create more paperwork, more time, more appointments."
- Thousands protest against drug abuse in Adamawa 30 Nov 2020 01:50 The Nation (Nigeria) ABOUT 10,000 youths and women from five local governments in Adamawa State at the weekend marched on major streets of Mubi, the state’s commercial nerve centre, denouncing drug abuse. The people, who protested as ‘Mubi Emirate Youths’, gathered at the …
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The use of PDMPs…is helping to reduce misuse of prescription drugs.
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.
An improved PDMP … with accurate and timely data analysis should be regarded as the cornerstone of our collective efforts to address prescription drug abuse.
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 CDC advises providers to use PDMPs… States should consider ways to increase their use … available real-time, and alerts to prescribers.
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.
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 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.
You’re not only reducing the supply [of pain medications] for those who use them inappropriately, but also for those in 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.
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.
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 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.
An improved PDMP … with accurate and timely data analysis should be regarded as the cornerstone of our collective efforts to address prescription drug abuse.
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.
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 use of PDMPs…is helping to reduce misuse of prescription drugs.
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.
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.