Author Affiliations : College of Nursing (Dr St. Marie) and College of Pharmacy (Drs Witry and Reist), University of Iowa, Iowa City.
Comput Inform Nurs. 2023 Aug 1;41(8):556-562. doi: 10.1097/CIN.0000000000000997.
Prescription drug monitoring programs are implemented through individual state policies and are one solution to curb the opioid crisis. The objectives of this study are to: (1) describe the multidisciplinary experiences using this program in practice; (2) identify limitations of the program and the desired features for improvement; and (3) characterize expectations for improved access when prescription drug monitoring programs are embedded in the electronic health record. A qualitative descriptive study design used semistructured interviews of 15 multidisciplinary healthcare providers. Textual data were analyzed using content analysis. Results showed the prescription drug monitoring program was helpful to decision-making processes related to opioid prescribing and referral to treatment; there were barriers limiting healthcare providers' use of the prescription drug monitoring program; preferences were delineated for integrating prescription drug monitoring program into electronic health record; and recommendations were provided to improve the program and increase use. In conclusion, the prescription drug monitoring program was viewed as useful in making strides to reduce the impact of inappropriate opioid prescribing in our country. By engaging a multidisciplinary group of healthcare providers, solutions were offered to improve the interface and function of the prescription drug monitoring program to assist in increasing use.
处方药物监测计划是通过各州的政策实施的，是遏制阿片类药物危机的一种解决方案。本研究的目的是：(1)描述在实践中使用该计划的多学科经验；(2)确定该计划的局限性和改进的期望功能；(3)描述当处方药物监测计划嵌入电子健康记录时，改善获取途径的期望。本研究采用半结构式访谈的定性描述性研究设计，对 15 名多学科医疗保健提供者进行了访谈。使用内容分析法对文本数据进行分析。结果表明，处方药物监测计划有助于与阿片类药物处方和转介治疗相关的决策过程；存在限制医疗保健提供者使用处方药物监测计划的障碍；为将处方药物监测计划整合到电子健康记录中划定了偏好；并提出了改进该计划和增加使用的建议。总之，处方药物监测计划被认为有助于减少我国不适当的阿片类药物处方的影响。通过让多学科的医疗保健提供者参与进来，提出了改进处方药物监测计划的界面和功能的解决方案，以帮助增加使用。
