Opioid Prescribing and Prescription Monitoring Program Use After Buprenorphine Discontinuation

2021 ◽  
Author(s):  
Tyler J. Varisco ◽  
Susan Abughosh ◽  
Hua Chen ◽  
Marc L. Fleming ◽  
Douglas Ziedonis ◽  
...  
Keyword(s):  
Monitoring Program ◽  
Opioid Prescribing ◽  
Prescription Monitoring

scholarly journals At-a-glance - Concurrent monitoring of opioid prescribing practices and opioid-related deaths: the context in Nova Scotia, Canada

2018 ◽  
Vol 38 (9) ◽  
pp. 334-338 ◽  
Author(s):  
Emily Schleihauf ◽  
Kirstin Crabtree ◽  
Carolyn Dohoo ◽  
Sarah Fleming ◽  
Heather McPeake ◽  
...  
Keyword(s):  
Nova Scotia ◽  
Public Health Surveillance ◽  
Monitoring Program ◽  
Population Level ◽  
Medical Examiner ◽  
Opioid Use ◽  
Prescribing Practices ◽  
Opioid Prescribing ◽  
Prescription Monitoring ◽  
Dispensing Data

Timely public health surveillance is required to understand trends in opioid use and harms. Here, opioid dispensing data from the Nova Scotia Prescription Monitoring Program are presented alongside fatality data from the Nova Scotia Medical Examiner Service. Concurrent monitoring of trends in these data sources is essential to detect population-level effects (whether intended or unintended) of interventions related to opioid prescribing.

scholarly journals Effect of Florida’s prescription monitoring Program and pill-mill Laws on Opioid prescribing and Utilization

2015 ◽  
Vol 18 (3) ◽  
pp. A304
Author(s):  
M. Daubresse ◽  
L. Rutkow ◽  
H. Chang ◽  
E. Stuart ◽  
D. Webster ◽  
...  
Keyword(s):  
Monitoring Program ◽  
Opioid Prescribing ◽  
Prescription Monitoring

Prescription Monitoring Program Utilization Survey

2020 ◽  
Author(s):  
Jeff Reist ◽  
Joseph Frazier ◽  
Alecia Rottingham ◽  
Mackenzie Welsh ◽  
Brahmendra Reddy Viyyuri ◽  
...  
Keyword(s):  
Monitoring Program ◽  
Prescription Monitoring

Understanding Opioid Prescribing Practices of Resident Physicians

2021 ◽  
pp. 000313482110604
Author(s):  
Julia M. Coughlin ◽  
Samantha L. Terranella ◽  
Ethan M. Ritz ◽  
Thomas Q. Xu ◽  
John F. Tierney ◽  
...  
Keyword(s):  
Best Practice ◽  
Monitoring Program ◽  
Resident Training ◽  
Prescribing Practices ◽  
Exact Test ◽  
Opioid Prescribing ◽  
Resident Physicians ◽  
Order Sets ◽  
Patient’S History ◽  
Safe Opioid Prescribing

Background To compare opioid prescribing practices of resident physicians across a variety of surgical and nonsurgical specialties; to identify factors which influence prescribing practices; and to examine resident utilization of best practice supplemental resources. Methods An anonymous survey which assessed prescribing practices was completed by residents from one of several different subspecialties, including internal medicine, obstetrics and gynecology, general surgery, neurosurgery, orthopedic surgery, and urology. Fisher’s exact test assessed differences in prescribing practices between specialties. Results Only 35% of residents reported receiving formal training in safe opioid prescribing. Overall, the most frequently reported influences on prescribing practices were the use of standardized order sets for specific procedures, attending preference, and patient’s history of prescribed opioids. Resident physicians significantly underutilize best practice supplemental resources, such as counseling patients on pain expectations prior to prescribing opioid medication; contacting established pain specialists; screening patients for opioid abuse; referring to the Prescription Monitoring Program; and counseling patients on safe disposal of unused pills ( P < .001). Discussion The incorporation of comprehensive prescribing education into resident training and the utilization of standardized order sets can promote safe opioid prescribing.

scholarly journals A Systematic Review of Interventions and Programs Targeting Appropriate Prescribing of Opioids

2019 ◽  
Vol 3 (22;3) ◽  
pp. 229-240 ◽  
Author(s):  
Yola Moride
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Evaluation Studies ◽  
The United States ◽  
Opioid Prescription ◽  
Overdose Death ◽  
Opioid Prescribing ◽  
Gray Literature ◽  
Prescription Monitoring ◽  
Monitoring Programs

Background: Canada and the United States have the highest levels of prescription opioid consumption in the world. In an attempt to curb the opioid epidemic, a variety of interventions have been implemented. Thus far, evidence regarding their effectiveness has not been consolidated. Objectives: The objectives of this study were to: 1) identify interventions that target opioid prescribing; 2) assess and compare the effectiveness of interventions on opioid prescription and related harms; 3) determine the methodological quality of evaluation studies. Study Design: The study involved a systematic review of the literature including bibliographical databases and gray literature sources. Setting: Systematic review including bibliographical databases and gray literature sources. Methods: We searched MEDLINE, Embase, and LILACS databases from January 1, 2005 to September 23, 2016 for any intervention that targeted the prescription of opioids. We also examined websites of relevant organizations and scanned bibliographies of included articles and reviews for additional references. The target population was that of all health care providers (HCPs) or users of opioids with no restriction on indication. Endpoints were those related to process (implementation), outcomes (effectiveness), or impact. Sources were screened independently by 2 reviewers using pre-defined eligibility criteria. Synthesis of findings was qualitative; no pooling of results was conducted. Results: Literature search yielded 12,278 unique sources. Of these, 142 were retained. During full-text review, 75 were further excluded. Searches of the gray literature and bibliographies yielded 49 additional sources. Thus, a total of 95 distinct interventions were identified. Over half consisted of prescription monitoring programs (PMPs) and mainly targeted HCPs. Evaluation studies addressed mainly opioid prescription rate (30.6%), opioid use (19.4%), or doctor shopping or diversion (9.7%). Fewer studies considered overdose death (9.7%), abuse (9.7%), misuse (4.2%), or diversion (5.6%). Study designs consisted of cross-sectional surveys (23.3%), pre-post intervention (26.7%), or time series without a comparison group (13.3%), which limit the robustness of the evidence. Although PMPs and policies have been associated with a reduction in opioid prescription, their impact on appropriateness of use according to clinical guidelines and restriction of access to patients in need is inconsistent. Continuing medical education (CME) and pain management programs were found effective in improving chronic pain management, but studies were conducted in specific settings. The impact of interventions on abuse and overdose-death is conflicting. Limitations: Due to the very large number of publications and programs found, it was difficult to compare interventions owing to the heterogeneity of the programs and to the methodologies of evaluation studies. No assessment of publication bias was done in the review. Conclusions: Evidence of effectiveness of interventions targeting the prescription of opioids is scarce in the literature. Although PMPs have been associated with a reduction in the overall prescription rates of Schedule II opioids, their impact on the appropriateness of use taking into consideration benefits, misuse, legal and illegal use remains elusive. Our review suggests that existing interventions have not addressed all determinants of inappropriate opioid prescribing and usage. A well-described theoretical framework would be the backdrop against which targeted interventions or policies may be developed. Key words: Opioid, prescription, abuse, misuse, diversion, interventions, prescription monitoring programs

Prescription Monitoring Program Trends Among Individuals Arrested in Maine for Trafficking Prescription Drugs in 2014

2016 ◽  
Vol 36 (6) ◽  
pp. 585-589 ◽  
Author(s):  
Kenneth McCall ◽  
Stephanie D. Nichols ◽  
Christina Holt ◽  
Leslie Ochs ◽  
Gary Cattabriga ◽  
...  
Keyword(s):  
Prescription Drugs ◽  
Monitoring Program ◽  
Prescription Monitoring

Using prescription monitoring program data to characterize out-of-pocket payments for opioid prescriptions in a state Medicaid program

2017 ◽  
Vol 26 (9) ◽  
pp. 1053-1060 ◽  
Author(s):  
Daniel M. Hartung ◽  
Sharia M. Ahmed ◽  
Luke Middleton ◽  
Joshua Van Otterloo ◽  
Kun Zhang ◽  
...  
Keyword(s):  
Monitoring Program ◽  
Medicaid Program ◽  
Prescription Monitoring ◽  
Out Of Pocket Payments ◽  
Program Data
Sign in / Sign up

Export Citation Format

Share Document