Usability of the Massachusetts Prescription Drug Monitoring Program in the Emergency Department: A Mixed-methods Study

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Sabrina J PoonA Landman

Abstract

Prescription drug monitoring programs (PDMPs) are underutilized, despite evidence showing that they may reduce the epidemic of opioid-related addiction, diversion, and overdose. We evaluated the usability of the Massachusetts (MA) PDMP by emergency medicine providers (EPs), as a system's usability may affect how often it is used. This was a mixed-methods study of 17 EPs. We compared the time and number of clicks required to review one patient's record in the PDMP to three other commonly performed computer-based tasks in the emergency department (ED: ordering a computed tomography [CT] scan, writing a prescription, and searching a medication history service integrated within the electronic medical record [EMR]). We performed semistructured interviews and analyzed participant comments and responses regarding their experience using the MA PDMP. The PDMP task took a longer time to complete (mean = 4.22 minutes) and greater number of mouse clicks to complete (mean = 50.3 clicks) than the three other tasks (CT-pulmonary embolism = 1.42 minutes, 24.8 clicks; prescription = 1.30 minutes, 19.5 clicks; SureScripts = 1.45 minutes, 9.5 clicks). Qualitative analysis yielded four main themes about PDMP usability, three negative and one posit...Continue Reading

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Citations

Oct 31, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Gillian J LeichtlingRichard A Deyo
May 26, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Benjamin C SunK John McConnell
Jan 6, 2018·The Annals of Pharmacotherapy·Natalia ShcherbakovaRobert J Roose
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Jun 17, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Christopher D SafforeLisa K Sharp
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Apr 3, 2018·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Mary Jo LarsonKelly Barth
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Dec 19, 2017·Annals of Emergency Medicine·Benjamin C SunK John McConnell

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