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Little is known about how parents utilize medical information on the Internet prior to an emergency department (ED) visit. Pediatric providers should provide parents with recommendations for high-quality sources of health information available on the Internet. (Interact J Med Res 2017;6(2):e17) doi:10.2196/ijmr.5075

Objective: The objective of the study was to determine the proportion of parents who accessed the Internet for medical information related to their child’s illness in the 24 hours prior to an ED visit (IPED), to identify the websites used, and to understand how the content contributed to the decision to visit the ED. Conclusions: Nearly 1 out of 8 parents presenting to an urban pediatric ED reported using the Internet in the 24 hours prior to the ED visit. Among privately insured, at least one in 5 parents reported using the Internet prior to visiting the ED. Web-based medical information often influences decision making regarding ED utilization. Pediatric providers should provide parents with recommendations for high-quality sources of health information available on the Internet. (Interact J Med Res 2017;6(2):e17) doi:10.2196/ijmr.5075

In the sixth edition of the Quest Diagnostics Health Trends™ Prescription Drug Monitoring Report: Prescription Drug Misuse in America, we present an analysis of prescription drug use and misuse rates in the United States based on 3.4 million de-identified PDM test results performed between 2011 and 2016.

The growth in opioid abuse has been called an epidemic, and for good reason: Between 2014 and 2015, overdose drug deaths in the United States increased by 11%, from 47,055 to 52,404, primarily driven by heroin and synthetic opioids other than methadone (such as fentanyl).2 In the same period, overdose deaths from heroin rose 20%, from 10,574 to 12,989, and deaths from synthetic opioids other than methadone rose a staggering 72%, from 5,544 to 9,580.3 Yet, treatment of pain, especially chronic pain, is a major challenge for medical professionals, and opioids can provide significant relief for some patients. Moreover, opioids are not the only prescription drugs that may be misused. Ensuring proper use is also clinically challenging for anti-anxiety medications and drug treatments for attention deficit disorder, for instance. A prescription drug monitoring program involving analysis of laboratory data can play a significant role in maximizing the benefit and minimizing the risk of harm to the patient and to the community. In the sixth edition of the Quest Diagnostics Health Trends™ Prescription Drug Monitoring Report: Prescription Drug Misuse in America, we present an analysis of prescription drug use and misuse rates in the United States based on 3.4 million de-identified PDM test results performed between 2011 and 2016.

The Partnership to Improve Patient Care (PIPC) recommends 1.  Improve oversight of CMMI by creating a Patient Advisory Panel to ensure patient-centeredness in the agency’s work. 2.  Require CMMI to follow a consistent process to seek input from patients and caregivers both early in the development of new demonstrations and throughout the implementation and evaluation process. 3.  Improve the transparency of model test designs and evaluation of results.