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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)
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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
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Sign up process
Cumbersome/time consuming
No EMR integration
No multi-state query
Thank You