How Are Real-time Opioid Prescribing Cognitions by Emergency Providers Influenced by Reviewing the State Prescription Drug Monitoring Program?

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Aaron LandauBrian Suffoletto

Abstract

To understand how real-time opioid prescribing cognitions by emergency medicine (EM) providers are influenced by review of the state prescription drug monitoring program (PDMP). We collected prospective data from a convenience sample of 103 patient encounters for pain from 23 unique EM providers. After seeing the patient, before and immediately after reviewing the PDMP, EM providers answered how much they thought "the patient need[ed] an opioid to help manage their pain?", how concerned they were "about drug abuse and/or diversion?", and whether they planned to prescribe an opioid (yes/no). If they changed their decision to prescribe after querying the PDMP, they were asked to provide comments. We categorized encounters by opioid prescribing plan before/after PDMP review (e.g., O+/O- means plan changed from "yes" to "no") and examined changes in cognitions across categories. Ninety-two of 103 (89.3%) encounters resulted in no change in opioid prescribing plan (61/92 [66.3%] O+/O+; 31/92 [33.7%] O-/O-). For the four O+/O- encounters, perceived patient opioid need decreased 75% of the time and concern for opioid abuse and/or diversion increased 75% of time. For the seven O-/O+ encounters, providers reported increased perceived pa...Continue Reading

References

Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Leonard J PaulozziHema A Desai
May 17, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Christi HildebranRichard A Deyo
Dec 24, 2014·Annals of Emergency Medicine·Jason A HoppeKennon Heard
Apr 3, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Anna K DonovanCarla L Spagnoletti
May 11, 2017·The New England Journal of Medicine·Michael Menchine, Bory Kea
May 12, 2017·The New England Journal of Medicine·Francesca L Beaudoin, Josiah D Rich
May 28, 2017·Annals of Emergency Medicine·Scott G WeinerJeremiah D Schuur
Jun 22, 2017·BMC Health Services Research·Erin P FinleyJennifer Sharpe Potter
Jul 18, 2017·The Journal of Pain : Official Journal of the American Pain Society·Anuj ShahBradley C Martin
Sep 15, 2017·Pharmacoepidemiology and Drug Safety·Sheri DoyleCynthia Reilly
Oct 6, 2017·Drug and Alcohol Dependence·Lainie RutkowG Caleb Alexander
Oct 20, 2017·Anesthesia and Analgesia·Lynn R Webster

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Medicine and Health, Rhode Island
Frederick W Burgess, Jayne Pawasauskas
The Journal of Pain : Official Journal of the American Pain Society
Jessica M IrvineRichard A Deyo
Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Jennifer A GershmanIoana Popovici
Virginia Medical Quarterly : VMQ
JEMS : a Journal of Emergency Medical Services
Mark O'Keefe
© 2022 Meta ULC. All rights reserved