Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey

Background: Real-time prescription monitoring (RTPM) systems are an effective tool to help health practitioners monitor opioid use and reduce opioid-related harm but little has been reported about the support required by pharmacists to engage with them effectively in practice. Objective: To evaluate...

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Main Authors: Ziyue Zhang, Lin Guo, Ran Si, Leanne Chalmers, Patricia Filippin, Jane Carpenter, Petra Czarniak
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Exploratory Research in Clinical and Social Pharmacy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266727662200021X
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author Ziyue Zhang
Lin Guo
Ran Si
Leanne Chalmers
Patricia Filippin
Jane Carpenter
Petra Czarniak
author_facet Ziyue Zhang
Lin Guo
Ran Si
Leanne Chalmers
Patricia Filippin
Jane Carpenter
Petra Czarniak
author_sort Ziyue Zhang
collection DOAJ
description Background: Real-time prescription monitoring (RTPM) systems are an effective tool to help health practitioners monitor opioid use and reduce opioid-related harm but little has been reported about the support required by pharmacists to engage with them effectively in practice. Objective: To evaluate the current understanding and perceptions of Western Australian pharmacists regarding RTPM systems and opioid-related harm, and investigate their self-reported training and support requirements prior to RTPM system implementation. Methods: This cross-sectional, prospective study involved an online Qualtrics survey distributed to Western Australian community or hospital pharmacists involved in dispensing and patient-centred roles via local professional pharmacy newsletters and social media. Data collection included demographic information, responses to authentic case scenarios and Likert-scale questions regarding perceptions and training requirements of a RTPM system, pain management and opioid-related harm. Descriptive analysis was utilised. Result: Sixty-two pharmacists responded to the questionnaire. Most (58/61; 95.1%) had a positive attitude towards RTPM systems, but only 33/61 (54.1%) reported being prepared for its implementation. Perceived barriers to successful implementation included lack of remuneration (46/60; 76.6%), conflict with prescribers (40/60; 66.7%), increased workload (37/60; 61.7%), staff safety concerns (34/60; 56.7%) and lack of knowledge regarding RTPM systems (32/60; 53.3%). Even though most participants were satisfied with training previously received, over 90% reported requiring further training and education, especially regarding RTPM systems (51/57; 96.2%) and opioid-related harm (56/57; 98.2%). Conclusion: Among a small sample of participants, there was a strong positivity regarding the value of RTPM systems and a high degree of receptiveness to further training in preparation for RTPM implementation.
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spelling doaj.art-13eed8f82d994e3cbce80e36348b59352022-12-22T01:53:25ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662022-03-015100122Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional surveyZiyue Zhang0Lin Guo1Ran Si2Leanne Chalmers3Patricia Filippin4Jane Carpenter5Petra Czarniak6Curtin Medical School, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia 6102, AustraliaCurtin Medical School, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia 6102, AustraliaCurtin Medical School, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia 6102, AustraliaCurtin Medical School, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia 6102, AustraliaDepartment of Health, Medicines and Poisons Regulation Branch, Royal Street, East Perth, Western Australia 6004, AustraliaDepartment of Health, Medicines and Poisons Regulation Branch, Royal Street, East Perth, Western Australia 6004, AustraliaCurtin Medical School, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia 6102, Australia; Corresponding author.Background: Real-time prescription monitoring (RTPM) systems are an effective tool to help health practitioners monitor opioid use and reduce opioid-related harm but little has been reported about the support required by pharmacists to engage with them effectively in practice. Objective: To evaluate the current understanding and perceptions of Western Australian pharmacists regarding RTPM systems and opioid-related harm, and investigate their self-reported training and support requirements prior to RTPM system implementation. Methods: This cross-sectional, prospective study involved an online Qualtrics survey distributed to Western Australian community or hospital pharmacists involved in dispensing and patient-centred roles via local professional pharmacy newsletters and social media. Data collection included demographic information, responses to authentic case scenarios and Likert-scale questions regarding perceptions and training requirements of a RTPM system, pain management and opioid-related harm. Descriptive analysis was utilised. Result: Sixty-two pharmacists responded to the questionnaire. Most (58/61; 95.1%) had a positive attitude towards RTPM systems, but only 33/61 (54.1%) reported being prepared for its implementation. Perceived barriers to successful implementation included lack of remuneration (46/60; 76.6%), conflict with prescribers (40/60; 66.7%), increased workload (37/60; 61.7%), staff safety concerns (34/60; 56.7%) and lack of knowledge regarding RTPM systems (32/60; 53.3%). Even though most participants were satisfied with training previously received, over 90% reported requiring further training and education, especially regarding RTPM systems (51/57; 96.2%) and opioid-related harm (56/57; 98.2%). Conclusion: Among a small sample of participants, there was a strong positivity regarding the value of RTPM systems and a high degree of receptiveness to further training in preparation for RTPM implementation.http://www.sciencedirect.com/science/article/pii/S266727662200021XReal-time prescription monitoringPharmacistOpioid-related harmNon-cancer chronic painPain managementPrescription drug monitoring
spellingShingle Ziyue Zhang
Lin Guo
Ran Si
Leanne Chalmers
Patricia Filippin
Jane Carpenter
Petra Czarniak
Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
Exploratory Research in Clinical and Social Pharmacy
Real-time prescription monitoring
Pharmacist
Opioid-related harm
Non-cancer chronic pain
Pain management
Prescription drug monitoring
title Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
title_full Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
title_fullStr Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
title_full_unstemmed Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
title_short Pharmacists' perceptions on real-time prescription monitoring (RTPM) systems – a cross-sectional survey
title_sort pharmacists perceptions on real time prescription monitoring rtpm systems a cross sectional survey
topic Real-time prescription monitoring
Pharmacist
Opioid-related harm
Non-cancer chronic pain
Pain management
Prescription drug monitoring
url http://www.sciencedirect.com/science/article/pii/S266727662200021X
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