title: Impact of prescription drug-monitoring program on controlled substance prescribing in the ED.
abstract: OBJECTIVE
  In 2009, Florida initiated a statewide prescription drug-monitoring program (PDMP) to encourage safer prescribing of controlled substances and reduce drug abuse and diversion. Data supporting the utility of such programs in the emergency department (ED) is scarce. This study sought to determine the effect of PDMP data on controlled substance prescribing from the ED.
  
  
  METHODS
  In this pre-post study utilizing a historical control, pharmacists in the ED provided prescribers with a summary of the PDMP data for their patients. The number of controlled substances prescribed in the intervention group was compared with that prescribed in the historical control to determine if the intervention resulted in a change in the average number of controlled substance prescribed.
  
  
  RESULTS
  Among the 710 patients evaluated, providing prescribers with PDMP data did not alter the average number of controlled substance per patient prescribed (0.23 controlled substances per patient in the historical control compared with 0.28 controlled substances per patient in the intervention group; 95% confidence interval [CI], -0.016 to 0.116; P = .125). All prescribers surveyed indicated that having PDMP data altered their controlled substance prescribing and felt more comfortable prescribing controlled substances.
  
  
  CONCLUSIONS
  Although the results did not demonstrate a change in the average number of controlled substances prescribed when prescribers were provided with PDMP data, results from the survey indicate that prescribers felt the data altered their prescribing of controlled substances, and thus were more contented prescribing controlled substances.
authors.affiliation: Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209. Electronic address: Matthew.McAllister@ColumbusRegional.com.
authors.forename: Matthew W
authors.initials: MW
authors.lastname: McAllister
authors.affiliation: Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209.
authors.forename: Patrick
authors.initials: P
authors.lastname: Aaronson
authors.affiliation: Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209.
authors.forename: Joe
authors.initials: J
authors.lastname: Spillane
authors.affiliation: Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209.
authors.forename: Mark
authors.initials: M
authors.lastname: Schreiber
authors.affiliation: Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209.
authors.forename: Genelyn
authors.initials: G
authors.lastname: Baroso
authors.affiliation: Center for Health Equity and Quality Research, 655 West 8th Street, Tower 2, 6th floor, Suite 6015, Jacksonville, FL 32209.
authors.forename: Dale
authors.initials: D
authors.lastname: Kraemer
authors.affiliation: Center for Health Equity and Quality Research, 655 West 8th Street, Tower 2, 6th floor, Suite 6015, Jacksonville, FL 32209.
authors.forename: Carmen
authors.initials: C
authors.lastname: Smotherman
authors.affiliation: Department of Emergency Medicine, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209.
authors.forename: Kelly
authors.initials: K
authors.lastname: Gray-Eurom
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D061891:Controlled Substances / Q000008:administration & dosage*; D016903:Drug Monitoring; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005260:Female; D005431:Florida; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*
chemical_list: D061891:Controlled Substances