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Strategies for Effective Opiate Use Management in Emergency Departments

This discussion focuses on key components of opiate contracts and their effective application in emergency departments (EDs). With rising rates of drug poisoning fatalities, understanding the benefits and risks of Prescription Drug Monitoring Programs (PDMP) is crucial for patient safety. We will explore current policies, highlight successful examples from cities and universities, and provide guidance on developing a toolbox for best practices. Addressing the barriers to PDMP implementation will help enhance prescribing practices and patient care in the ED context.

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Strategies for Effective Opiate Use Management in Emergency Departments

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Presentation Transcript

  1. QIPS All Section Call Opiate use in the ED

  2. 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.

  3. 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.

  4. 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

  5. Opiate Policies • NYC Guideline • Delaware Guideline • University of Wisconsin Guideline

  6. 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

  7. Thank You

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