prescription monitoring program (PDMP)

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Indications

Notes

* this is only true if system works as intended & patient obtains all opiates through a prescriber that commits to the prescription monitoring program

* it does not determine whether the patient is actually taking the medications or is transferring them to another individual

* as such, this a hugely short-sighted program, useful for what it does do, but far short of reasonable effort

* regular urine drug screens should be used to determine that the patient is actually taking an opiate, but this in itself is also inadequate

More general terms

References

  1. Prescriber's Letter 17(7): 2010 Prescription Drug Monitoring Programs Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=260701&pb=PRL (subscription needed) http://www.prescribersletter.com
  2. Medical Knowledge Self Assessment Program (MKSAP) 17, 18. American College of Physicians, Philadelphia 2015, 2018.
  3. 3.0 3.1 Bao Y, Pan Y, Taylor A et al. Prescription drug monitoring programs are associated with sustained reductions in opioid prescribing by physicians. Health Aff (Millwood) 2016 Jun 1; 35:1045 PMID: https://www.ncbi.nlm.nih.gov/pubmed/27269021
  4. 4.0 4.1 Hawk K, D'Onofrio G, Fiellin DA et al. Past-year prescription drug monitoring program opioid prescriptions and self-reported opioid use in an emergency department population with opioid use disorder. Acad Emerg Med 2017 Nov 22 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29165853 <Internet> http://onlinelibrary.wiley.com/doi/10.1111/acem.13352/abstract
  5. 5.0 5.1 Fink DS, Schleimer JP, Sarvet A et al. Association between prescription drug monitoring programs and nonfatal and fatal drug overdoses: A systematic review. Ann Intern Med 2018 May 8; <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29801093 <Internet> http://annals.org/aim/article-abstract/2680723/association-between-prescription-drug-monitoring-programs-nonfatal-fatal-drug-overdoses
    Compton WM, Wargo EM. Prescription drug monitoring programs: Promising practices in need of refinement. Ann Intern Med 2018 May 8 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29801101 <Internet> http://annals.org/aim/article-abstract/2680724/prescription-drug-monitoring-programs-promising-practices-need-refinement
  6. 6.0 6.1 Stucke RS, Kelly JL, Mathis KA et al Association of the Use of a Mandatory Prescription Drug Monitoring Program With Prescribing Practices for Patients Undergoing Elective Surgery JAMA Surg. Published online August 22, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30140927 https://jamanetwork.com/journals/jamasurgery/fullarticle/269662