scholarly journals Past‐year Prescription Drug Monitoring Program Opioid Prescriptions and Self‐reported Opioid Use in an Emergency Department Population With Opioid Use Disorder

2017 ◽  
Vol 25 (5) ◽  
pp. 508-516 ◽  
Author(s):  
Kathryn Hawk ◽  
Gail D'Onofrio ◽  
David A. Fiellin ◽  
Marek C. Chawarski ◽  
Patrick G. O'Connor ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Prescription Drug Monitoring Program

scholarly journals The Pennsylvania Prescription Drug Monitoring Program: Reducing the Misuse of Prescription Opioids

Commonwealth ◽  
2018 ◽  
Vol 20 (2-3) ◽  
Author(s):  
Lynn S. Mirigian ◽  
Laura A. Hendrick ◽  
Janice L. Pringle ◽  
Michael A. Zemaitis
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Opioid Use Disorder ◽  
Prescribing Patterns ◽  
Opioid Overdose ◽  
Opioid Use ◽  
University Of Pittsburgh ◽  
Drug Enforcement Administration ◽  
Prescription Drug Monitoring Program

In 2016, 4,642 Pennsylvanians died from a drug overdose and 85% of these deaths were due to an opioid overdose (U.S. Drug Enforcement Administration and University of Pittsburgh School of Pharmacy 2017). With a 37% increase in deaths from 2015, the Commonwealth’s response to this epidemic has come from several fronts. One valuable resource has been the modernization and implementation of Pennsylvania’s Prescription Drug Monitoring Program (PDMP). PDMPs are state-­run programs that record dispensing of most controlled substances and provide this data to physicians and pharmacists (among others) to inform their practice about possible opioid use disorder by a given patient. This article discusses the role of Pennsylvania’s PDMP in patient care and law enforcement to reduce opioid overdoses in the Commonwealth. Recent evidence is discussed that demonstrates the effectiveness of state-­run PDMPs and their impact on opioid misuse and prescribing patterns. It is important to note that additional research into the effectiveness of PDMPs in preventing opioid-­related morbidity and mortality is needed.

scholarly journals The Contribution of Prescribed and Illicit Opioids to Fatal Overdoses in Massachusetts, 2013-2015

2019 ◽  
Vol 134 (6) ◽  
pp. 667-674 ◽  
Author(s):  
Alexander Y. Walley ◽  
Dana Bernson ◽  
Marc R. Larochelle ◽  
Traci C. Green ◽  
Leonard Young ◽  
...  
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Opioid Use Disorder ◽  
Medical Examiner ◽  
Prescription Opioids ◽  
Opioid Use ◽  
Opioid Prescription ◽  
Prescription Drug Monitoring Program ◽  
Opioid Medications

Objectives: Opioid-related overdoses are commonly attributed to prescription opioids. We examined data on opioid-related overdose decedents in Massachusetts. For each decedent, we determined which opioid medications had been prescribed and dispensed and which opioids were detected in postmortem medical examiner toxicology specimens. Methods: Among opioid-related overdose decedents in Massachusetts during 2013-2015, we analyzed individually linked postmortem opioid toxicology reports and prescription drug monitoring program records to determine instances of overdose in which a decedent had a prescription active on the date of death for the opioid(s) detected in the toxicology report. We also calculated the proportion of overdoses for which prescribed opioid medications were not detected in decedents’ toxicology reports. Results: Of 2916 decedents with complete toxicology reports, 1789 (61.4%) had heroin and 1322 (45.3%) had fentanyl detected in postmortem toxicology reports. Of the 491 (16.8%) decedents with ≥1 opioid prescription active on the date of death, prescribed opioids were commonly not detected in toxicology reports, specifically: buprenorphine (56 of 97; 57.7%), oxycodone (93 of 176; 52.8%), and methadone prescribed for opioid use disorder (36 of 112; 32.1%). Only 39 (1.3%) decedents had an active prescription for each opioid detected in toxicology reports on the date of death. Conclusion: Linking overdose toxicology reports to prescription drug monitoring program records can help attribute overdoses to prescribed opioids, diverted prescription opioids, heroin, and illicitly made fentanyl.

scholarly journals 249 EMF Usability of the Massachusetts Prescription Drug Monitoring Program in the Emergency Department

2015 ◽  
Vol 66 (4) ◽  
pp. S90
Author(s):  
S.J. Poon ◽  
M.B. Greenwood-Ericksen ◽  
R.E. Gish ◽  
P.M. Neri ◽  
S.S. Takhar ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Prescription Drug Monitoring Program

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

2016 ◽  
Vol 23 (4) ◽  
pp. 406-414 ◽  
Author(s):  
Sabrina J. Poon ◽  
Margaret B. Greenwood-Ericksen ◽  
Rebecca E. Gish ◽  
Pamela M. Neri ◽  
Sukhjit S. Takhar ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Mixed Methods Study ◽  
Prescription Drug Monitoring Program

Clinician Impression Versus Prescription Drug Monitoring Program Criteria in the Assessment of Drug-Seeking Behavior in the Emergency Department

2013 ◽  
Vol 62 (4) ◽  
pp. 281-289 ◽  
Author(s):  
Scott G. Weiner ◽  
Christopher A. Griggs ◽  
Patricia M. Mitchell ◽  
Breanne K. Langlois ◽  
Franklin D. Friedman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Drug Seeking ◽  
Prescription Drug Monitoring Program ◽  
Seeking Behavior
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