Risk Management: Prescribing Controlled Substances: Managing the Risks
Conclusion Using the three Cs of risk management strategies—collecting information, communicating, and carefully documenting—when prescribing controlled substances supports quality patient care and can decrease the risk of improper prescribing allegations. Appendix 1. Prescribing Controlled Substances: Informed Consent Some, but not all states have promulgated various requirements and recommendations for components of an informed consent discussion when prescribing controlled substances. The following is a compilation of current individual state requirements and recommendations for informed consent. Prescribers should determine the state requirements for their state, and may want to consider incorporating these components: The physician shall obtain written, informed consent and discuss the risks and benefits of the use of controlled substances with the patient; persons designated by the patient; or the patient’s surrogate or guardian if the patient is incompetent. Ensure the patient does not have any absolute contraindications and review risks and benefits related to any relative contraindications with the patient. The treatment plan, any alternatives to controlled substance therapy, additional therapies to be used in conjunction with controlled substances (if any) should be reviewed. Inform the patient of the risks of addiction, physical dependence, and abuse; the potential for dose escalation/tolerance. Inform the patient of the risk of the p...
Publication date: September 2020Source: Social Science &Medicine, Volume 260Author(s): J.M. Bowles, L.R. Smith, S.R. Verdugo, K.D. Wagner, P.J. Davidson
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