-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/opioid-overuse.pdf
January 01, 2012 - COSTS
Total spending on prescription opioids (painkillers
like morphine, codeine, fentanyl, and oxycodone
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - dose
(22.0 %), with only few older patients (<5%) being prescribed a mean daily dose of ≥90
daily morphine … prescription in the year before the diagnosis1 and received a
prescribed opioid dose of less than 90-mg morphine … codeine, dihydrocodeine, fentanyl, hydrocodone, hydromorphone,
levorphanol, meperidine, methadone, morphine … Opioid Oral Morphine
Milligram Equivalent (MME) Conversion Factors1. 2016;
https://www.cms.gov/Medicare … /Prescription-Drug-
coverage/PrescriptionDrugCovContra/Downloads/Opioid-Morphine-EQ-
Conversion-Factors-Aug
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
January 01, 2024 - were defined as current
opioid prescription(s) at a daily dose of less than or equal to 100 mg of morphine … limited life expectancy
Opioids
Avoiding High-dose Opioid Therapy (Total daily doses of > 100 mg morphine … drug dependence; * p<0.0001; - In patients on opioids
with complete dosing data for calculation of morphine … measures (e.g.,
antidepressants, antihypertensives, nonsteroidal anti-inflammatory drugs, statins); # Morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - caused harm
(Categories C–I) (Categories E–I)
DoD National* DoD National*
Cefazolin Albuterol Morphine … Sulfate Insulin
Insulin† Insulin Fentanyl Morphine Sulfate
Morphine Sulfate Heparin Insulin Heparin … Oxycodone Morphine Sulfate Meperidine Potassium Chloride
Vancomycin Vancomycin Methadone Hydromorphone
-
ce.effectivehealthcare.ahrq.gov/opioids/implementing-what-works/compendium.html
December 01, 2023 - opioid therapy (LTOT), number co-prescribed opioids & benzodiazepines, and number of patients with ≥50 morphine … pain visits:
- screening appropriate for older adults on opioids such as falls risk,
- calculating Morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
June 01, 2023 - Ibuprofen PO 600 mg 2.4
Oxycodone PO 15 mg 2.4
Ibuprofen PO 400 mg 2.7
Meperidine IM 100 mg 2.9
Morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Tramadol, which has a weak opioid receptor activity compared to morphine, works primarily through the
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
December 18, 2023 - Activity (PEG) score ■ Opioid Risk Tool score ■ pain location ■ pain level
■ medication use ■ daily morphine
-
ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - the respiratory therapist checks the medication record and notes that the patient is overdue for his morphine
-
ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - for POUR
Site of insertion lumbar > thoracic
Long-acting local anesthetics
Hydrophilic opioids (morphine … )
Opioids with high-m receptor selectivity (morphine, fentanyl)
Epinephrine
Higher-dose bupivicaine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
April 01, 2014 - For severe pain, parenteral opioids (e.g., morphine)
are administered, usually with around‐the‐clock
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - to 10 mg
Medical-surgical Hydromorphone Continuous dose 30 mg Decreased to 1 mg
Medical-surgical Morphine … mg Decreased to 10 mg
Medical-surgical Fentanyl PCA dose 1 μg Increased to 50 μg
Critical care Morphine … with no
known risk factors for PCA therapy.2 Initial dosing was continuous PCA infusion of 1 mg/hr
morphine
-
ce.effectivehealthcare.ahrq.gov/opioids/data/stat-briefs.html
February 01, 2024 - opioids, as well as the same measures for the top five opioid products (hydrocodone, oxycodone, tramadol, morphine
-
ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/834.html
October 01, 2022 - Needed
Opioid prescriptions written by oral surgeons for more than three days and for more than 55 morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - A far greater number can be
delivered intravenously, e.g., heparin, insulin, morphine, fentanyl, propofol … to 10 mg
Medical-surgical Hydromorphone Continuous dose 30 mg Decreased to 1 mg
Medical-surgical Morphine … mg Decreased to 10 mg
Medical-surgical Fentanyl PCA dose 1 μg Increased to 50 μg
Critical care Morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - “Some medications, like codeine or morphine, will help suppress the cough reflex, which means she can
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - EpiPen® accidentally discharges into
healthcare provider
Look-alike meds:
• Diazepam, midazolam, and morphine … courses for urgent-care RNs and MDs
Some clinics do not have a pharmacy; controlled
substances (e.g., morphine … orange caps, and midazolam cartridges labeled with pink-purple print, much like
nearby meperidine and morphine … sulfate.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack-complete.pdf
October 01, 2021 - − Is morphine equivalent dose (MED) calculated for patients? When? How? … − Is morphine equivalent dose (MED) calculated for patients? When? How? … assessment resources available in the Resource Library
at www.improvingopioidcare.org:
− Calculation of morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module5/ts2-0ltc_module5_ig_sitmon.pdf
June 22, 2017 - everyone is busy, so you check the
medication record and note that the resident is overdue for
his morphine … everyone is busy, so you check the medication record and note that the resident is overdue for his morphine
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - .,
201617
• Primary care • Pain task force
• Dose limitation
• Initiation of taper for >120
morphine … studies examined the effect of their opioid stewardship interventions on opioid dosages, measured
as morphine … Intervention
patients had a
mean morphine
equivalent daily
dose 6.6 (1.6)
mg lower than
Not provided … practices
From 2006
through June
2014, the
percentage of
patients on
COT receiving
≥120 mg
morphine … Moderate,
Low)
Weimer et
al., 201617
Provider
education and
dose limitation
policy (120 mg
morphine