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Pharmacists' experiences with dispensing opioids: provincial survey
Meldon Kahan1, Lynn Wilson, Elizabeth Francis Wenghofer
1Addiction Medicine Services Clinic, St Joseph's Health Centre, Toronto, ON. kahanm@stjoe.on.ca
Canadian Family Physician Medecin De Famille Canadien
|November 16, 2011
Summary
Pharmacists frequently witness opioid intoxication and concerning behaviors, struggling to communicate with physicians. Improved communication and system-wide strategies are essential for safer opioid dispensing.
Area of Science:
- Pharmacy Practice
- Public Health
- Pain Management
Background:
- Opioid dispensing is a critical aspect of pain management.
- Pharmacists play a vital role in monitoring opioid use and identifying potential misuse.
- Effective communication between pharmacists and physicians is crucial for patient safety.
Purpose of the Study:
- To investigate pharmacists' perspectives on opioid dispensing practices.
- To understand pharmacists' experiences with opioid-related adverse events and aberrant behaviors.
- To explore challenges in pharmacist-physician communication regarding opioid therapy.
Main Methods:
- A mailed survey was distributed to 1011 pharmacists in Ontario, Canada.
- The survey assessed pharmacists' beliefs, practices, and experiences with opioid dispensing.
- Data were collected on observed opioid-related adverse events and interactions with physicians.
Main Results:
- A 64% response rate was achieved, with 86% of pharmacists concerned about patients on opioids.
- 36% reported patients experiencing opioid intoxication in the past year due to various factors.
- Pharmacists frequently encountered issues like early refills and suspected double-doctoring, and faced difficulties contacting physicians.
Conclusions:
- Pharmacists frequently observe opioid intoxication and aberrant drug-related behaviors.
- Challenges in communication with physicians hinder pharmacists' ability to address concerns effectively.
- System-wide strategies, including prescription databases and guidelines, are needed to improve opioid safety and interprofessional communication.
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