Prescriptive Thinking – the Prescription Advisory Blog

Our thoughts on the evolving prescription monitoring landscape.

Prescription Advisory Blog
Opioids and malpractice risks

Opioids and malpractice risks

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 lead to...

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Opioid recipients often use multiple prescribers

Opioid recipients often use multiple prescribers

BMJ recently published an analysis of opioid prescribing among Medicare patients -"Opioid prescribering by multiple providers in Medicare: retrospective observational study of insurance claims". A couple of things jumped out: Just over two thirds of opioid recipients...

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NJ and PMP – Prescriptive Thinking

NJ and PMP – Prescriptive Thinking

Governor Chris Christie signed a bill on July 20th, 2015 requiring drug prescribers and pharmacists in NJ to register for the state’s Prescription Monitoring Program (PMP) and to check the PMP when prescribing controlled substances. “We’re not only...

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Pain Patients are not all Degenerates

Pain Patients are not all Degenerates

Two important articles have come out just in the past few days. Journal of the American Medical Association The first is a JAMA published article about opioid overdose. If I allow myself to do a substantial study the disservice of ultra-condensing its learnings, it...

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Complicated Value Creation

Complicated Value Creation

Today I want to talk more about business, than about prescription drug abuse. In selling PastRx, we run into an issue. Prescribers understand how our system will protect their patients, and lead to better outcomes. They understand how it will protect them from the DEA...

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The Origins of Prescription Advisory

The Origins of Prescription Advisory

Just over two years ago, I met with my old friend Dr. Frederic “Skip” Leeds. We were just catching up on what was happening in our lives, and with our families. Skip mentioned that he was working on something pretty interesting.  In response to a growing problem with...

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Follow Prescription Advisory

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

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
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