keyword
Keywords Prescription drug monitoring p...

Prescription drug monitoring program

https://read.qxmd.com/read/38011505/high-risk-opioid-prescribing-associated-with-postoperative-new-persistent-opioid-use-in-adolescents-and-young-adults
#21
JOURNAL ARTICLE
Gracia M Vargas, Vidhya Gunaseelan, Lily Upp, Katherine J Deans, Peter C Minneci, Samir K Gadepalli, Michael J Englesbe, Jennifer F Waljee, Calista M Harbaugh
OBJECTIVE: In this study, we explored which postoperative opioid prescribing practices were associated with persistent opioid use among adolescents and young adults. BACKGROUND: Approximately 5% of adolescents and young adults develop postoperative new persistent opioid use. The impact of physician prescribing practices on persistent use among young patients is unknown. METHODS: We identified opioid-naïve patients aged 13 to 21 who underwent 1 of 13 procedures (2008-2016) and filled a perioperative opioid prescription using commercial insurance claims (Optum Deidentified Clinformatics Data Mart Database)...
May 1, 2023: Annals of Surgery
https://read.qxmd.com/read/37972433/development-and-implementation-of-multicomponent-homecare-interventions-for-multimorbid-and-frail-older-people-based-on-information-and-communication-technologies-the-multiplat_age-project
#22
JOURNAL ARTICLE
Alberto Pilotto, Marina Barbagelata, Wanda Morganti, Emanuele Seminerio, Guido Iaccarino, Armando Genazzani, Carlo Trompetto, Gennarina Arabia, Maddalena Illario, Erica Volta, Carlo Custodero, Alberto Cella
The prevention and treatment of frailty condition among multimorbid older adults, in community and hospital settings, is becoming a healthcare priority. Growing evidence suggests that a multidimensional approach could help not only in the early identification of older patients' needs but also in designing personalized preventive interventions. However, in clinical practice, the effectiveness of such interventions is limited by a lack of continuity of care and poor compliance of patients. The widespread diffusion of the information and communication technology (ICT) could offer an excellent way to implement and monitor multidimensional and personalized interventions for multimorbid older adults...
November 3, 2023: Archives of Gerontology and Geriatrics
https://read.qxmd.com/read/37968977/opioid-and-benzodiazepine-utilization-patterns-in-metropolitan-and-rural-texas
#23
JOURNAL ARTICLE
Robert W Hutchison, Joseph Carhart
INTRODUCTION: Although many drugs are implicated in the crisis, opioids and concomitant sedatives are associated with increased overdose risk in both rural and urban communities. Individuals in rural areas are up to 5-fold more likely to experience adverse outcomes related to opioids. The primary objective of this study was to evaluate concomitant use of opioid and benzodiazepine prescriptions in Texas, compare metropolitan and rural differences, and use these data to inform clinicians and to help develop harm reduction strategies...
2023: Journal of Opioid Management
https://read.qxmd.com/read/37962733/paths-forward-for-clinicians-amidst-the-rise-of-unregulated-clinical-decision-support-software-our-perspective-on-narxcare
#24
EDITORIAL
Michele J Buonora, Sydney A Axson, Shawn M Cohen, William C Becker
Amidst the US overdose epidemic, policymakers, law enforcement agencies, and healthcare institutions have contributed to a decrease in opioid prescribing, assuming reduced mortality would result-an assumption we now understand was oversimplified. At this intersection between public health and public safety domains as they relate to opioid prescribing, unregulated and proprietary clinical decision support tools have emerged without rigorous external validation or public data sharing. In the following piece, we discuss challenges facing clinicians practicing medicine amidst unregulated clinical decision support tools, using the case of Bamboo Health's NarxCare-a prescription drug monitoring program-based analytics platform marketed as a clinical decision support tool-that is already positioned to impact over 1 billion patient encounters annually...
November 14, 2023: Journal of General Internal Medicine
https://read.qxmd.com/read/37953218/impact-of-mandated-drug-monitoring-on-opioid-use-during-highly-conformal-radiotherapy-for-oropharynx-cancer
#25
JOURNAL ARTICLE
Jayden Gracie, Adam L Holtzman, Roi Dagan, Curtis M Bryant, Christopher G Morris, William M Mendenhall
BACKGROUND: Prescription drug monitoring programs (PDMPs) have proliferated due to increasing opioid-related deaths. We evaluated acute opioid use changes for 64 patients treated with highly conformal radiotherapy (RT) following a state-mandated PDMP. METHODS: Patients receiving proton therapy (PT) (n=40), intensity-modulated RT (IMRT) (n=14), or both (n=10) were divided into preintervention (n=26) and postintervention cohorts (n=38); records were reviewed retrospectively under an institutional review board (IRB)-approved tracking protocol...
October 27, 2023: Annals of Palliative Medicine
https://read.qxmd.com/read/37946605/association-between-prescription-drug-monitoring-programs-use-mandates-and-prescription-stimulants-received-by-medicaid-enrollees
#26
JOURNAL ARTICLE
Christian Gunadi, Yuyan Shi
INTRODUCTION: Prescription drug monitoring program (PDMP) use mandates are an important policy tool to curb nonmedical opioid use. However, data are scarce about their efficacy on other commonly used prescription drugs such as stimulants. METHODS: We used 2010-2020 state-level secondary data from Medicaid State Drug Utilisation Data and quasi-experimental difference-in-differences research design to estimate the association between PDMP use mandates and population-adjusted stimulants (amphetamines and methylphenidate) prescribing outcomes: (i) number of prescriptions filled; and (ii) total amount reimbursed in US dollars...
November 2023: Drug and Alcohol Review
https://read.qxmd.com/read/37942470/creation-of-a-data-commons-for-substance-misuse-related-health-research-through-privacy-preserving-patient-record-linkage-between-hospitals-and-state-agencies
#27
JOURNAL ARTICLE
Majid Afshar, Madeline Oguss, Thomas A Callaci, Timothy Gruenloh, Preeti Gupta, Claire Sun, Askar Safipour Afshar, Joseph Cavanaugh, Matthew M Churpek, Edwin Nyakoe-Nyasani, Huong Nguyen-Hilfiger, Ryan Westergaard, Elizabeth Salisbury-Afshar, Megan Gussick, Brian Patterson, Claire Manneh, Jomol Mathew, Anoop Mayampurath
OBJECTIVES: Substance misuse is a complex and heterogeneous set of conditions associated with high mortality and regional/demographic variations. Existing data systems are siloed and have been ineffective in curtailing the substance misuse epidemic. Therefore, we aimed to build a novel informatics platform, the Substance Misuse Data Commons (SMDC), by integrating multiple data modalities to provide a unified record of information crucial to improving outcomes in substance misuse patients...
December 2023: JAMIA Open
https://read.qxmd.com/read/37939689/virtual-pharmacy-an-integrated-collaborative-redesign-targeting-medication-related-problems-in-patients-with-chronic-kidney-disease
#28
Stephanie W Ong, Abhijat Kitchlu, David Z I Cherney, Karen Leung, Christopher T M Chan
BACKGROUND: Collaborative management of kidney disease relies on coordinated and effective partnerships between multiple providers. Siloed traditional health systems often result in delays, barriers to treatment access, and inefficient monitoring. METHODS: We conducted a 1-year observational mixed methods study. We included all consecutive referrals except for patients without telephone access. We assessed 4 domains of outcomes: 1. Patient and caregiver experience, 2...
November 8, 2023: American Journal of Nephrology
https://read.qxmd.com/read/37934572/clinical-decision-support-to-reduce-opioid-prescriptions-for-dental-extractions-using-smart-on-fhir-implementation-report
#29
JOURNAL ARTICLE
D Brad Rindal, Dhavan Prasad Pasumarthi, Vijayakumar Thirumalai, Anjali R Truitt, Stephen E Asche, Donald C Worley, Sheryl M Kane, Jan Gryczynski, Shannon G Mitchell
BACKGROUND: Clinical decision support (CDS) has the potential to improve clinical decision-making consistent with evidence-based care. CDS can be designed to save health care providers time and help them provide safe and personalized analgesic prescribing. OBJECTIVE: The aim of this report is to describe the development of a CDS system designed to provide dentists with personalized pain management recommendations to reduce opioid prescribing following extractions...
November 7, 2023: JMIR Medical Informatics
https://read.qxmd.com/read/37934537/association-of-state-drug-laws-with-nonmedical-use-of-prescription-medications-in-adolescents
#30
JOURNAL ARTICLE
Hariharan Shanmugam, Christopher F Baum, Summer Sherburne Hawkins
OBJECTIVE: The aim of the study is to examine the associations between mandatory access prescription drug monitoring programs (PDMPs), pain management clinic (PMC) laws, and doctor shopping (DS) laws with adolescent nonmedical use of prescription medications (NUPM). METHODS: We linked 2011-2015 Youth Risk Behavior Survey data on 364,103 adolescents across 40 states with PDMP, PMC laws, and DS laws. We conducted a 2-way fixed effects logistic regression model to examine the associations between state drug laws and adolescent self-reported NUPM...
November 2023: Journal of Addiction Medicine
https://read.qxmd.com/read/37930758/a-web-based-patient-empowerment-to-medication-adherence-program-for-patients-with-rheumatoid-arthritis-feasibility-randomized-controlled-trial
#31
JOURNAL ARTICLE
Siriwan Lim, Ponrathi Athilingam, Manjari Lahiri, Peter Pak Moon Cheung, Hong-Gu He, Violeta Lopez
BACKGROUND: Living with a chronic illness such as rheumatoid arthritis (RA) requires medications and therapies, as well as long-term follow-up with multidisciplinary clinical teams. Patient involvement in the shared decision-making process on medication regimens is an important element in promoting medication adherence. Literature review and needs assessment showed the viability of technology-based interventions to equip patients with knowledge about chronic illness and competencies to improve their adherence to medications...
November 6, 2023: JMIR Formative Research
https://read.qxmd.com/read/37927819/oralopioids-harnessing-r-programming-and-data-science-to-combat-opioid-misuse
#32
JOURNAL ARTICLE
Ankona Banerjee, Erik Stricker
AIMS: This study aims to introduce the OralOpioids R package, a novel research tool for the in-depth study and analysis of opioid prescriptions in Canada, which reports a significant per-capita pharmaceutical opioid consumption. METHODS: The OralOpioids R package employs data from Health Canada's Drug Product Database (DPD), focusing on authorized oral opioids. It systematically filters drug identification numbers (DINs) by narcotic schedules and administration routes...
2023: Health Services Research and Managerial Epidemiology
https://read.qxmd.com/read/37919198/agreement-between-pharmacists-and-physicians-on-the-assessment-of-appropriateness-of-antimicrobial-prescribing
#33
JOURNAL ARTICLE
José María Gutiérrez-Urbón, Eva Campelo-Sánchez, Sara Cobo-Sacristán, Marcelo Domínguez-Cantero, María Victoria Gil-Navarro, Sonia Luque, María Eugenia Martínez-Núñez, Beatriz Mejuto, Francisco Moreno-Ramos, Leonor Periañez-Párraga, Carmen Rodríguez-González, Teresa Rodríguez-Jato
INTRODUCTION: Audits for monitoring the quality of antimicrobial prescribing are a main tool in antimicrobial stewardship programs; however, interobserver reliability has not been conclusively assessed. Our objective was to measure the level of agreement between pharmacists and physicians on the appropriateness of antimicrobials prescribing in hospitals. METHODS: A national multicenter, cross-sectional study was conducted of patients who were receiving antimicrobials one day of April 2021...
October 31, 2023: Enfermedades infecciosas y microbiologia clinica
https://read.qxmd.com/read/37888509/identifying-prescription-opioid-related-risks-using-prescription-drug-monitoring-programs-algorithms-and-clinical-screening-tools
#34
JOURNAL ARTICLE
Louisa Picco, Monica Jung, Helena Cangadis-Douglass, Tina Lam, Suzanne Nielsen
BACKGROUND: Pharmacists adopt various approaches to identifying prescription-opioid-related risks and harms, including prescription drug monitoring programs (PDMPs) and clinical screening tools. This study aims to compare 'at-risk' patients according to the published Australian PDMP algorithms with the validated Routine Opioid Outcome Monitoring (ROOM) clinical screening tool. METHODS: Data were used from an implementation study amongst people who had been prescribed regular opioids...
October 13, 2023: Pharmacy (Basel, Switzerland)
https://read.qxmd.com/read/37879661/improving-the-effectiveness-of-sud-treatment-through-a-national-registry
#35
JOURNAL ARTICLE
Joanna L Conti, Stephanie A Bosco-Ruggiero, Martin Hochheimer, Thomas W Doub, Jamie Salsberg, Staci Daniels-Sommers
CONTEXT: Recent research into the effectiveness of abstinence-based substance use disorder (SUD) treatment indicates that there has not been a substantial improvement since the Drug Abuse Treatment Outcome Study research in 1993. Research into medication-supported treatments for SUD are hindered by a dearth of real-world longitudinal outcome studies. Patient registries have dramatically improved survival rates in many diseases by providing researchers with longitudinal data on a broad spectrum of patients undergoing a variety of treatments...
2023: Journal of Opioid Management
https://read.qxmd.com/read/37879657/health-disparities-in-ethnic-and-racial-minority-populations-with-pain-and-opioid-use-disorder
#36
JOURNAL ARTICLE
Heather DeBruin, Barbara J St Marie
Healthcare providers are not prepared to address health disparities among ethnic and racial minority populations with either persistent and chronic pain or substance use disorder (SUD). Recognizing biases from policies to provide pain management and treatment for SUD in our healthcare systems, from our individual state laws and federal guidelines, is necessary. Biases are embedded in the screening and treatment of patients with chronic pain through the use of screening tools, opioid treatment agreements, and prescription drug monitoring programs...
2023: Journal of Opioid Management
https://read.qxmd.com/read/37872666/persistent-long-term-opioid-use-after-trauma-incidence-and-risk-factors
#37
JOURNAL ARTICLE
Matthew V Benns, Jeremy T Gaskins, Keith R Miller, Nicholas A Nash, Matthew C Bozeman, Samuel J Pera, G Ryne Marshall, Jamie J Coleman, Brian G Harbrecht
BACKGROUND: The opioid epidemic in the United States continues to lead to a substantial number of preventable deaths and disability. The development of opioid dependence has been strongly linked to previous opioid exposure. Trauma patients are at particular risk since opioids are frequently required to control pain after injury. The purpose to this study was to examine the prevalence of opioid use before and after injury and to identify risk factors for persistent long-term opioid use after trauma...
October 24, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37855282/why-pharmacovigilance-of-non-steroidal-anti-inflammatory-drugs-is-important-in-india
#38
JOURNAL ARTICLE
Subhransu Dash, Preet Amol Singh, Neha Bajwa, Abinash Choudhury, Preeti Bisht, Rajiv Sharma
BACKGROUND: Non-steroidal Anti-Inflammatory Drugs (NSAIDs) are among the drugs that are most regularly administered to manage inflammation and pain. Over-the-Counter (OTC) NSAIDs are widely accessible, particularly in developing countries like India. This casual approach to using NSAIDs may operate as a magnet for NSAID-related adverse drug reactions (ADRs) among patients. OBJECTIVES: As patients in India are less informed about the appropriate use of NSAIDs and consumption patttern, adverse drug reactions, and the importance of reporting ADRs, the current study's objective is to promote patient safety by using pharmacovigilance as a tool to educate patients...
October 4, 2023: Endocrine, Metabolic & Immune Disorders Drug Targets
https://read.qxmd.com/read/37849581/a-review-of-federal-and-statewide-guidelines-and-their-effects-on-orthopedics
#39
REVIEW
Johann Braithwaite, John M Tarazi, Joshua Gruber, Jarret Boroniec, Randy Cohn, Adam Bitterman
In the past three decades, the use of opioids has risen tremendously. Pain was named the "fifth patient vital sign" in the 1990s, and from that point, opioid usage has continued to grow throughout the 2010s leading to its recognition as a crisis. The United States is responsible for 80% of the global opioid usage while only accounting for less than 5% of the global population. Previously opioids were mostly used to treat acute pain, however, opioids have been most recently used to manage chronic pain as well...
September 2023: Curēus
https://read.qxmd.com/read/37847553/determining-the-impact-of-opioid-policy-on-substance-use-and-mental-health-related-harms-protocol-for-a-data-linkage-study
#40
JOURNAL ARTICLE
Ting Xia, Louisa Picco, Samanta Lalic, Rachelle Buchbinder, J Simon Bell, Nadine E Andrew, Dan I Lubman, Christopher Pearce, Suzanne Nielsen
BACKGROUND: Increasing harms related to prescription opioids over the past decade have led to the introduction of a range of key national and state policy initiatives across Australia. These include introducing a mandatory real-time prescription drug-monitoring program in the state of Victoria from April 2020 and a series of changes to subsidies for opioids on the Pharmaceutical Benefit Scheme from June 2020. Together, these changes aim to influence opioid supply and reduce harms related to prescription opioids, yet few studies have specifically explored how these policies have influenced opioid prescribing and related harms in Australia...
October 17, 2023: JMIR Research Protocols
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