Supporting the safe use of monitored drugs
eHealthNB through the Electronic Health Record (EHR), displays in real-time a patient’s medication history of all prescriptions filled in New Brunswick community pharmacies. This is supported by the Drug Information System (DIS).
Prescription Monitoring Program (PMP) information is displayed in a separate view of only monitored drugs. Opioids such as Dilaudid and Percocet, and controlled drugs such as Ritalin, and Ativan are considered monitored drugs.
Authorized healthcare providers can access and use PMP information to make safe more informed decisions about patient care.
PMP information can help prevent harm by identifying patients who may be at risk. For example, prescribers and pharmacists can see information on filled monitored drug prescriptions such as:
- Potentially high doses
- Multiple prescriptions for similar monitored drugs
- Different pharmacies where prescriptions have been filled
- Possible risky combinations of monitored drugs
Additional PMP functionality including alerts to prescribers and pharmacists are being developed in collaboration with stakeholders.
PMP specific alerts will help identify patients being treated for the first time with drugs such as opioids, as well as, patients who may be at risk for addiction, or drug related harms.
PMP is carefully considering how health care providers should manage patients who have been taking opioids for a long period of time to prevent them from being suddenly cut-off.