Publications related to Prescribe Safe - Community Hospital of the Monterey Peninsula

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Publications related to Prescribe Safe

  1. Grover CA, Close RJ. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10: 193-4.
    This was an opinion piece highlighting the problems associated with ED frequent users.
  2. Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med. 2010; 11: 336-43.
    This was a publication on the first 100 patients in the Frequent Users Group (original EDRVP). We reduced ED visits by 83% and CT scans by 67%
  3. Grover CA, Wiele ED, Close RJ. Narcotic Bowel Syndrome. J Emerg Med. 2012; 43: 992-5.
    One of our EDRVP patients had chronic abdominal pain - and was ultimately diagnosed with Narcotic Bowel Syndrome after referral to a tertiary care center. As the opiate pain medications caused her recurrent abdominal pain - she asked us to write up the case to teach other providers about her diagnosis.
  4. Grover CA, Close RJ, Wiele ED, Villarreal K, Goldman LM. Quantifying drug-seeking behavior: a case control study. J Emerg Med. 2012; 42: 15-21.
    Since many of the EDRVP patients exhibit drug seeking behavior from chemical dependency issues, we looked at their behaviors to understand more about drug seeking behavior.
  5. Grover CA, Garmel GM. How do emergency physicians interpret prescription narcotic history when assessing patients presenting to the emergency department with pain? Perm J. 2012; 16: 32-6.
    We provided a number of fictitious cases of patients presenting with back pain - each with a different prescription drug history (we varied medication potency, number of prescribers, and number of prescriptions) - to see how providers interpreted the data in regards to the possibility of drug seeking behavior.
  6. Grover CA, Elder JW, Close RJ, Curry SM. How frequently are "Classic" Drug-Seeking Behaviors Used by Drug-Seeking Patients in the Emergency Department? West J Emerg Med. 2012; 13: 416-21.
    Since many of the EDRVP patients exhibit drug seeking behavior from chemical dependency issues, we took another at their behaviors to understand more about drug seeking behavior.
  7. Grover CA, Crawford E, Close RJ. The Efficacy of Case Management on Emergency Department frequent users: An Eight Year Observational Study. J Emerg Med. In press
    All previous studies of case management have followed patients for 3 years or less. We had the data on patients for 8 years - and found that case management continues to work in the long term
  8. Grover C. State prescription drug monitoring programs: Are they the answer to America's new public health epidemic? ACEP Trauma and Injury Prevention Section Newsletter. March 2012
    This was an informational piece on prescription drug monitoring programs.
  9. Grover C. Prescription Drug Monitoring Programs. Modern Resident. Apr/May 2013.
    This was another informational piece on prescription drug monitoring programs.
  10. Brooks, Dorothy. New Initiative Slashes Opioid Prescriptions, Boosts Community Response. ED Management. October 2016.
  11. Grover CA, Close RJ. Community Hospital of the Monterey Peninsula: Clinical Connection. Winter 2017.
    Information piece for area physicians on the latest best practices to reduce harm to patients in prescribing addictive medications.
  12. Grover CA, Close RJ. Community Hospital of the Monterey Peninsula: Clinical Connection. Winter 2016.
  13. ED Management. October 2016.
    Information piece for area physicians on best practices to identify patients at risk for addiction and non-opioid treatments for pain
  14. Grover C. Community Hospital of the Monterey Peninsula: Clinical Connection. Summer 2017.
  15. Grover C. TENS Units: Hope for the Opioid Epidemic? Emergency Medicine News. September 2017.
  16. Grover CA, McKernan MP, Close RJH. Transcutaneous Electrical Nerve Stimulation (TENS) in the Emergency Department for Pain Relief: A Preliminary Study of Feasibility and Efficacy. West J Emerg Med. 2018; 19: 872-876.
    A study of using the non-opioid technology TENS in the ER at CHOMP proved to be a success! The first study of using such technology in the ER anywhere.

Prescribing more safely

Prescribe Safe

More and more people were coming to our Emergency department seeking pain medications or, worse, after an overdose. Our doctors knew something had to be done. The result: Prescribe Safe, a countywide effort that's taking on the opioid epidemic.

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Drug disposal bins

We now have medication drop off bins at Community Hospital.

Medication bin locations - English

Medication bin locations - Spanish

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