Evidence-Based Interventions to Improve Opioid Prescribing in Primary Care: a Qualitative Assessment of Implementation in Two Studies

Article Immunology

Improving the Delivery of Chronic Opioid Therapy Among People Living With Human Immunodeficiency Virus: A Cluster Randomized Clinical Trial

Jeffrey H. Samet et al.

Summary: This study found that the TEACH intervention can help improve the likelihood of HIV patients on COT undergoing urine drug tests, with no significant differences in other outcomes.

CLINICAL INFECTIOUS DISEASES (2021)

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Article Health Care Sciences & Services

Development and implementation of a primary care clinic workflow protocol to meet opioid prescribing guidelines

Lori M. Weller

Summary: Teaching opioid prescribing workflow protocols through a YouTube webinar was found to be an effective method for disseminating and implementing best practices in primary care clinics, leading to improved guideline adherence and completion rates. The majority of participants believed that the webinar information would help them better adhere to best practice guidelines.

JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS (2021)

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Review Substance Abuse

Barriers and facilitators to PDMP IS Success in the US: A systematic review

Heather D. Martin et al.

Summary: Prescription Drug Monitoring Programs (PDMP) are crucial for preventing prescription drug misuse, with factors such as interstate data sharing, EHR integration, and access expansion playing vital roles in determining their success. However, challenges like access difficulties and lack of information sharing still exist, necessitating a comprehensive approach to address these barriers.

DRUG AND ALCOHOL DEPENDENCE (2021)

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Article Anesthesiology

Opioid Prescribing After Implementation of Single Click Access to a State Prescription Drug Monitoring Program Database in a Health System's Electronic Health Record

Scott G. Weiner et al.

Summary: The integration of PDMP into the EHR system significantly increased the number of searches but led to modest decreases in opioid prescriptions and the number of patients receiving a prescription. Single click EHR integration of PDMP may be a way for states to significantly increase PDMP utilization if implemented broadly.

PAIN MEDICINE (2021)

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Article Anthropology

Painful Subjects: Treating Chronic Pain among People Living with HIV in the Age of Opioid Risk

Jennifer J. Carroll et al.

Summary: The opioid overdose epidemic in the United States is often attributed to liberal prescribing practices by health care providers, prompting the recognition of new monitoring guidelines for opioid prescriptions in chronic pain patients as key strategies to slow down the tide of overdose deaths. This article explores the social and ontological landscape of opioid-based pain management in an HIV clinic, arguing that the establishment of new monitoring strategies disrupt patient subjectivity in a setting where it has historically been protected and prioritized.

MEDICAL ANTHROPOLOGY QUARTERLY (2021)

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Article Primary Health Care