Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Embargo Period

4-19-2019

Degree Program

Doctor of Nursing Practice

Degree Track

Post Master's DNP Completion

Year Degree Awarded

2019

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.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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