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QIPS All Section Call. Opiate use in the ED. Objectives. Identify the key components of opiate contracts and principles of how to use them effectively . Discuss benefits/risks of PDMP as they pertain to patient safety and quality. . What’s the Big Deal?.
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QIPS All Section Call Opiate use in the ED
Objectives • Identify the key components of opiate contracts and principles of how to use them effectively. • Discuss benefits/risks of PDMP as they pertain to patient safety and quality.
What’s the Big Deal? • Since 2009, more people have died each year from drug poisoning than from motor vehicle crashes. • The age-adjusted unintentional drug poisoning death rate more than doubled: • 2000: 4.1 per 100,000 population • 2010: 9.7 per 100,000 • Physicians prescribe 69 tons of oxycodone and 42 tons of hydrocodone annually in the United States.
Opiate Policies/Contracts in the ED • Many EDs and a handful of Local and State governments are developing policies around the prescribing of prescription pain medications. • Let’s discuss (refer to example policies) • Pros/Cons • What wording specifically works and what does not • Ask questions about the samples available • Develop a toolbox for the QIPS website
Opiate Policies • NYC Guideline • Delaware Guideline • University of Wisconsin Guideline
Prescription Drug Monitoring Programs • All states but Missouri have a system in place or have approved systems ready to go. • Benefits of use include • Detect aberrant behavior • Identify overdose substance • Evaluate your prescribing practice (could be a con) • Barriers to use • Sign up process • Cumbersome/time consuming • No EMR integration • No multi-state query