• Matthew W McAllister, Patrick Aaronson, Joe Spillane, Mark Schreiber, Genelyn Baroso, Dale Kraemer, Carmen Smotherman, and Kelly Gray-Eurom.
• Department of Pharmacy, University of Florida Health Science Center Jacksonville, 655 West 8th Street, Jacksonville, FL 32209. Electronic address: Matthew.McAllister@ColumbusRegional.com.
• Am J Emerg Med. 2015 Jun 1;33(6):781-5.

ObjectiveIn 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.MethodsIn 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.ResultsAmong 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.ConclusionsAlthough 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.Copyright © 2015 Elsevier Inc. All rights reserved.

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