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Search results for "Ordering/Prescribing Errors"
- Epidemiology of Errors and Adverse Events
- Legal and Policy Approaches
- Ordering/Prescribing Errors
Journal Article > Study
Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.
Stucke RS, Kelly JL, Mathis KA, Hill MV, Barth RJ. JAMA Surg. 2018;153:1105-1110.
Many states are implementing prescription drug monitoring programs (PDMPs) in an attempt to curb the ongoing opioid epidemic. This single-center study examined the effect of a New Hampshire policy that mandates clinicians use a PDMP and an opioid risk assessment tool prior to prescribing opioids. No impact was found on overall opioid prescribing rates. However, a recent state-level analysis found that states who implemented a PDMP had lower opioid prescribing rates compared to states without PDMPs. A PSNet perspective discussed the factors that contributed to the opioid epidemic and proposed solutions.
Journal Article > Government Resource
García MC, Dodek AB, Kowalski T, et al. MMWR Morb Mortal Wkly Rep. 2016;65:1125-1131.
Adverse drug events related to opioid medications are a significant patient safety concern. This analysis of insurer claims data demonstrated that changing opioid prescribing requirements, including implementing patient–provider agreements, requiring prior authorization, and enforcing quantity limits, led to a decline in opioid prescribing. The authors recommend that insurers implement policies from the Centers for Disease Control and Prevention opioid guidelines to improve safety.
Journal Article > Study
Fialová D, Topinková E, Gambassi G, et al. JAMA 2005;293:1348-1358.
This retrospective cross-sectional study of nearly 3000 elderly patients aimed to estimate the prevalence of inappropriate medication use. Investigators studied participants from several European cities and found that nearly 20% used at least one inappropriate medication. Discussion includes a detailed table comparing three different criteria systems for identifying inappropriate medications in the elderly as well as comparisons of the findings in this study with those in the United States. The authors also describe noted regional differences within European cities and report a number of factors associated with inappropriate use, including poor economic situation, polypharmacy, and depression. They authors call for greater regulatory measures and uniformity within the European Union to improve prescribing habits for the elderly.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.