TY - JOUR
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Analgesics, Opioid/administration & dosage/therapeutic use
KW - Anxiety/complications/psychology
KW - Chronic Disease
KW - Confidentiality
KW - Depression/complications/psychology
KW - Documentation/methods
KW - Drug Prescriptions
KW - Female
KW - Humans
KW - Male
KW - Medical History Taking/methods
KW - Medical Informatics
KW - Middle Aged
KW - Opioid-Related Disorders/prevention & control
KW - Pain Clinics
KW - Pain Measurement
KW - Pain/drug therapy
KW - Psychiatric Status Rating Scales
KW - Reproducibility of Results
KW - Risk Assessment
KW - Surveys and Questionnaires
KW - United States
KW - United States Department of Veterans Affairs
KW - Young Adult
AU - B. L. Wilsey
AU - S. M. Fishman
AU - C. Casamalhuapa
AU - A. Gupta
A1 - 
AB - OBJECTIVE: To demonstrate that a computer-assisted survey instrument offers an efficient means of patient evaluation when initiating opioid therapy. Design. We report on our experience with the Prescription Opioid Documentation and Surveillance (PODS) System, a medical informatics tool that uses validated questionnaires to collect comprehensive clinical and behavioral information from patients with chronic pain. SETTING AND PATIENTS: Over a 39-month period, 1,400 patients entered data into PODS using a computer touch screen in a Veterans Administration Pain Clinic. MEASURES: Indices of pain intensity, function, mental health status, addiction history, and the potential for prescription opioid abuse were formatted for immediate inclusion into the medical record. RESULTS: The PODS system offers physicians a tool for systematic evaluation prior to prescribing opioids The system generates an opioid agreement between the patient and physician, and provides medicolegal documentation of the patient's condition. CONCLUSIONS: PODS should improve patient care, refine pain control, and reduce the incidence of opioid abuse. Research to determine how PODS affects clinical care is underway. Specially, the effectiveness and efficiency of providing care utilizing PODS will be evaluated in future studies.
BT - Pain medicine (Malden, Mass.)
C5 - Opioids & Substance Use; HIT & Telehealth; Measures; Healthcare Disparities
CP - 5
CY - England
DO - 10.1111/j.1526-4637.2009.00652.x
IS - 5
JF - Pain medicine (Malden, Mass.)
N2 - OBJECTIVE: To demonstrate that a computer-assisted survey instrument offers an efficient means of patient evaluation when initiating opioid therapy. Design. We report on our experience with the Prescription Opioid Documentation and Surveillance (PODS) System, a medical informatics tool that uses validated questionnaires to collect comprehensive clinical and behavioral information from patients with chronic pain. SETTING AND PATIENTS: Over a 39-month period, 1,400 patients entered data into PODS using a computer touch screen in a Veterans Administration Pain Clinic. MEASURES: Indices of pain intensity, function, mental health status, addiction history, and the potential for prescription opioid abuse were formatted for immediate inclusion into the medical record. RESULTS: The PODS system offers physicians a tool for systematic evaluation prior to prescribing opioids The system generates an opioid agreement between the patient and physician, and provides medicolegal documentation of the patient's condition. CONCLUSIONS: PODS should improve patient care, refine pain control, and reduce the incidence of opioid abuse. Research to determine how PODS affects clinical care is underway. Specially, the effectiveness and efficiency of providing care utilizing PODS will be evaluated in future studies.
PP - England
PY - 2009
SN - 1526-4637; 1526-2375
SP - 866
EP - 877
EP - 
T1 - Documenting and improving opioid treatment: the Prescription Opioid Documentation and Surveillance (PODS) System
T2 - Pain medicine (Malden, Mass.)
TI - Documenting and improving opioid treatment: the Prescription Opioid Documentation and Surveillance (PODS) System
U1 - Opioids & Substance Use; HIT & Telehealth; Measures; Healthcare Disparities
U2 - 19594846
U3 - 10.1111/j.1526-4637.2009.00652.x
VL - 10
VO - 1526-4637; 1526-2375
Y1 - 2009
ER -