Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Degree Program
Doctor of Nursing Practice
Degree Track
Post Master's DNP Completion
Year Degree Awarded
2019
DOI
https://doi.org/10.7275/14307207
Month Degree Awarded
May
Keywords
Opioid prescribing, Prescription drug monitoring programs
Advisor
Terrie Black DNP, MBA, CRRN, FAHA, FAAN
DNP Project Chair
Terrie Black DNP, MBA, CRRN, FAHA, FAAN
DNP Project Outside Member Name
Antoinette Gatlin, APRN, MSN, FNP-BC
Abstract
Background: Opioid-related morbidity and mortality is a serious public health issue in the United States. Prescription Drug Monitoring Program (PDMP) review prior to prescribing opioids has consistently been recommended as best practices for risk mitigation, however, access/utilization of this monitoring program remains low.
Methods: This quality improvement (QI) project for improved PDMP utilization employed a pre-post survey design in a random sample of Advanced Practice Registered Nurses in Arizona. Quantitative measures included online surveys with close-ended responses to salient items from the review of literature and best practices. A follow-up survey was requested of the participants who provided their email address one month following initial survey/best practice review.
Results: Forty-six APRNs responded to the preliminary survey. Of the initial respondents, 22 completed the post-intervention survey one month after the QI activity. APRNs reported improved compliance with best practice recommendations including initial PDMP review prior to prescribing opioid medication for non-cancer, non-terminal pain, reviewing morphine milligram equivalents (MMEs) of prior prescriptions, < 3 month PDMP review for patients receiving chronic opioid medication, APRN addressing concerning PDMP review results, and maintaining an opioid dosage < 50 MMEs.
Conclusions: Targeted educational awareness for APRNs can improve utilization of PDMPs and support increased adherence to safe, opioid prescribing best practices.
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