Effect of New York State Electronic Prescribing Mandate on Opioid Prescribing Patterns.
Adult
Aged
Analgesics, Opioid
/ therapeutic use
Drug Overdose
/ mortality
Electronic Health Records
/ statistics & numerical data
Electronic Prescribing
/ standards
Female
Humans
Male
Middle Aged
New York
Pain Management
/ methods
Practice Patterns, Physicians'
/ legislation & jurisprudence
Prescription Drug Misuse
/ prevention & control
Retrospective Studies
abuse
electronic
mandate
opioid
prescription
Journal
The Journal of emergency medicine
ISSN: 0736-4679
Titre abrégé: J Emerg Med
Pays: United States
ID NLM: 8412174
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
12
06
2018
revised:
17
03
2019
accepted:
30
03
2019
pubmed:
2
7
2019
medline:
17
6
2020
entrez:
2
7
2019
Statut:
ppublish
Résumé
Drug overdose was the leading cause of injury and death in 2013, with drug misuse and abuse causing approximately 2.5 million emergency department (ED) visits in 2011. The Electronic Prescriptions for Controlled Substances (EPCS) program was created with the goal of decreasing rates of prescription opioid addiction, abuse, diversion, and death by making it more difficult to "doctor-shop" and alter prescriptions. In this study, we describe the opioid-prescribing patterns of emergency physicians after the introduction of the New York State EPCS mandate. We conducted a retrospective, single-center, descriptive study with a pre-/post-test design. The pre-implementation period used for comparison was April 1-July 31, 2015 and the post-implementation period was April 1-July 31, 2016. All ED discharge prescriptions for opioid medications prior to and after the initiation of New York State EPCS were identified. During the pre-implementation study period, 22,221 patient visits were identified with 1366 patients receiving an opioid prescription. During the post-implementation study period, 22,405 patient visits were identified with 642 patients receiving an opioid prescription. This represented an absolute decrease of 724 (53%) opioid prescriptions (p < 0.0001), which is an absolute difference of 2.3% (95% confidence interval 2.0-2.6%). There was a significant decline in the overall number of opioid prescriptions after implementation of the New York EPCS mandate.
Sections du résumé
BACKGROUND
BACKGROUND
Drug overdose was the leading cause of injury and death in 2013, with drug misuse and abuse causing approximately 2.5 million emergency department (ED) visits in 2011. The Electronic Prescriptions for Controlled Substances (EPCS) program was created with the goal of decreasing rates of prescription opioid addiction, abuse, diversion, and death by making it more difficult to "doctor-shop" and alter prescriptions.
OBJECTIVE
OBJECTIVE
In this study, we describe the opioid-prescribing patterns of emergency physicians after the introduction of the New York State EPCS mandate.
METHODS
METHODS
We conducted a retrospective, single-center, descriptive study with a pre-/post-test design. The pre-implementation period used for comparison was April 1-July 31, 2015 and the post-implementation period was April 1-July 31, 2016. All ED discharge prescriptions for opioid medications prior to and after the initiation of New York State EPCS were identified.
RESULTS
RESULTS
During the pre-implementation study period, 22,221 patient visits were identified with 1366 patients receiving an opioid prescription. During the post-implementation study period, 22,405 patient visits were identified with 642 patients receiving an opioid prescription. This represented an absolute decrease of 724 (53%) opioid prescriptions (p < 0.0001), which is an absolute difference of 2.3% (95% confidence interval 2.0-2.6%).
CONCLUSIONS
CONCLUSIONS
There was a significant decline in the overall number of opioid prescriptions after implementation of the New York EPCS mandate.
Identifiants
pubmed: 31256931
pii: S0736-4679(19)30259-8
doi: 10.1016/j.jemermed.2019.03.052
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
156-161Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.