Predictors of pharmacists’ likelihood to query prescription drug monitoring program databases

Arnold, Austin; Bentley, John P.; Patel, Amit A.; Holmes, Erin R.

doi:10.1016/j.japh.2021.04.019

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…The evidence is mixed on whether PDMP use is associated with the number of benzodiazepines, non-opioid analgesics, and stimulants [40,43,44,68,[72][73][74][75]. Only one study evaluated the effect of mandated PDMP use on the length of chronic opioid treatment and found no change [76].…”

Section: Resultsmentioning

confidence: 99%

Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions

Smith,

Thornton,

Fenton

et al. 2023

Pharmacoepidemiology

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Prescription drug misuse is a global problem, especially in the United States (US). Clinician involvement is necessary in this crisis, and prescription drug monitoring programs (PDMPs) are a recommended tool for the prevention, recognition, and management of prescription opioid misuse. However, because of the plethora of differences between different PDMPs, research on their effects is mixed. Yet, despite varied evidence, policy on PDMP use is trending stricter and more comprehensive. We aimed to identify patterns in the research to inform clinicians and policy. Through a systematic review of four literature databases (CINAHL, Cochrane Database, Embase, and Medline/OVID), we found 56 experimental and quasi-experimental studies published between 2016 and 2023 evaluating PDMP effects on clinician behavior. To address study heterogeneity, we categorized studies by type of intervention and study outcome. The review suggests that more comprehensive PDMP legislation is associated with decreases in the number of opioid prescriptions overall and the number of risky prescriptions prescribed or dispensed. However, this review shows that much is still unknown, encourages improvements to PDMPs and policies, and suggests further research.

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Section: Resultsmentioning

confidence: 99%

Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions

Smith,

Thornton,

Fenton

et al. 2023

Pharmacoepidemiology

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“…This is inconsistent with previous research where time constraints was reported as the main barrier to PDMP use ( 12 , 15 , 18 , 22–25 ). Physicians in the study by Radomski et al ( 12 ) stated that PDMP use was challenging because of limited time and competing demands, a sentiment echoed by pharmacists and specialists alike ( 13 , 25 ). It is possible that fewer participants in this study reported time constraints than in previous studies due to geographical differences in healthcare systems including organizational processes, diversity in health information technology systems, and heterogeneity of prescription monitoring tools.…”

Section: Discussionmentioning

confidence: 99%

“…This was supported by responses to the openended question indicating that users found the log in process and loading times cumbersome. System slowness was reported in previous studies related not only to lag time in updates and the system timing out, but also to the inability to query the system in real time, an issue that does not exist with Australian RTPM tools (12,13,15,23). It is argued that improving ease of access will increase the uptake of practitioner tool use, therefore, further research can investigate these barriers and how to minimize their impact on tool use.…”

Section: "…Make Real Time Prescription Monitoring Mandatory For All D...mentioning

confidence: 99%

“…It is widely accepted that practitioner RTPM tool utility and barriers to use play an important part in whether the tools will achieve their desired goals. Previous research has investigated barriers and facilitators to PDMP use by healthcare practitioners in the United States, however in Australia the literature is limited (9,(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators related to healthcare practitioner use of real time prescription monitoring tools in Australia

Hoppe,

Liu,

Khalil

2023

Front. Public Health

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IntroductionReal time prescription monitoring tools have been implemented in Australia to address the growing concerns of drug misuse, drug-related mortality and morbidity. The objective of this pilot study is to investigate the barriers and facilitators related to healthcare practitioner use of real time prescription monitoring tools.MethodsAn online survey was distributed to Australian prescribers and pharmacists who use a real time prescription monitoring tool. Data analysis included descriptive statistics, chi-square tests and multivariate logistic regression analyses.ResultsA total of 102 questionnaires were analyzed. Practitioners mainly agreed that the tool was easy to use (n = 64; 66.7%) and access (n = 56; 57.7%), and the data was easy to interpret (n = 77; 79.4%). Over half agreed that they wanted training to guide clinical actions (n = 52; 55.9%) and clinical guidelines or guidance on what to do with the RTPM findings (n = 51; 54.8%). Prescribers were more likely to report difficulties with workplace access to a computer or the internet (n = 7; 21.2%) compared with pharmacists (n = 6; 9.2%; p = 0.037). Practitioners working in community settings (n = 59; 57.9%; p = 0.022) and those with 1–10 years practice experience (n = 45; 44.2%; p = 0.036) were more likely to want training to guide clinical actions in response to RTPM information.ConclusionThis is the first known study to investigate the barriers and facilitators related to practitioner use of RTPM tools in Australia. The results from this study can inform further research to gain an understanding of healthcare practitioners use of RTPM tools, and how to minimize barriers and optimize use for the essential delivery of quality healthcare.

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Pharmacist Opioid Dispensing Confidence in an Evolving Practice Landscape

Herndon¹,

Riley²,

Gattas³

et al. 2022

Journal of Pain & Palliative Care Pharmacotherapy

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Predictors of pharmacists’ likelihood to query prescription drug monitoring program databases

Cited by 4 publications

References 26 publications

Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions

Helpful, Unnecessary, or Harmful: A Systematic Review of the Effects of Prescription Drug Monitoring Program Use on Opioid Prescriptions

Barriers and facilitators related to healthcare practitioner use of real time prescription monitoring tools in Australia

Pharmacist Opioid Dispensing Confidence in an Evolving Practice Landscape

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