ArticleJournal of addiction medicine
The Impact of a PDMP-EHR Data Integration Combined With Clinical Decision Support on Opioid and Benzodiazepine Prescribing Across Clinicians in a Metropolitan Area.
Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Artificial Intelligence-Enabled Prescribing in Opioid Use Disorder Care: Decision Support, Risk Scores, Large Language Model Copilots, and Digital Therapeutics (2024-2025).European addiction research · 2026Review
- Contrasting rule and machine learning based digital self triage systems in the USA.NPJ digital medicine · 2024Review
- State-level factors associated with implementation of prescription drug monitoring program integration and mandatory use policies, United States, 2009-2020.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Changes in opioid prescribing and prescription drug monitoring program utilization following electronic health record integration-Massachusetts, 2018.Pain medicine (Malden, Mass.) · 2024Article
- Physician perspective on the implementation of risk mitigation strategies when prescribing opioid medications: a qualitative analysis.BMC health services research · 2023Article
- Targeted messaging to improve the adoption of clinical decision support for prescription drug monitoring program use.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Embedding a State-Wide Prescription Drug Monitoring Program into the Electronic Health Record.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
introductionDespite inconclusive evidence that prescription drug monitoring programs (PDMP) reduce opioid-related mortality, guidelines recommend PDMP review with opioid prescribing. Some reported barriers to use include time-consuming processes to obtain data and workflow disruptions.
methodsWe provided access to a PMDP-electronic health record (EHR) integrated program to 123 clinicians in one healthcare system. Remaining clinicians within the healthcare system and metropolitan area did not receive PDMP-EHR integration program access. We identified changes in opioid prescribing by linking prescription data available in the state PMDP database to individual clinicians. The primary outcome was change in receipt of high dose opioid prescriptions (>90 mg morphine equivalents) by Colorado residents before and after program integration. Secondary outcomes included changes in long-acting opioid receipt and overlapping opioid and benzodiazepine prescription days. Next, we surveyed clinicians to assess their perspectives on PDMP data acquisition before and after PDMP-EHR integration program access.
resultsHigh-dose opioid receipt decreased significantly across all 3 clinician groups [PDMP-EHR integration program access (27.6%, to 6.9%, P < 0.001); no program access in the same healthcare system (4.8% to 2.9%, P < 0.001), and no program access across the metropolitan area (13.5% to 6.1%, P < 0.001)]. Clinicians reported improved access to PDMP data using the PDMP-EHR integrated program compared to the state PDMP website (98.6%).
conclusionsFurther study of PDMP-EHR integration programs on patient and clinician outcomes may illuminate the role of this technology in public health and in clinical practice.
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