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Medicolegal Death Investigation Considerations for Prescription Drug Monitoring Programs

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1 hour

Medical examiners and coroners use a variety of data sources to complete a medicolegal death investigation (MDI) and make determinations on a cause and manner of death. One of those data sources is state prescription drug monitoring programs (PDMPs). PDMPs are state-operated databases and medicolegal surveillance systems that document the dispensing of certain prescription medications to individual patients. Typically, PDMPs aggregate transactional records of controlled substance prescriptions when dispensed in outpatient pharmacy settings. This means that a patient receives the medication for in-home use rather than being administered the medication directly by a healthcare provider within a medical facility, such as a hospital or clinic. This information can provide critical details on a patient’s history of treatment for substance use disorder, predicted opioid tolerance, prescribers/dispensers of last contact, unusual drug utilization patterns, and other investigative clues.

Also, medical examiners'/coroners' (ME/C's) use of PDMPs may itself be an area of new research. For example, how much time does an ME/C save during an investigation by using PDMP data? Can tools specific to the ME/C community be developed by PDMPs? Does tracking ME/C's use of the PDMPs provide any insight or value to understanding the substance use epidemic? The answers to these questions could provide valuable information to the MDI community and other stakeholders.

Date Created: August 5, 2021