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psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
December 14, 2016 - State-based prescription drug monitoring programs are powerful tools for identifying opioid misuse . … December 14, 2016
Addressing the opioid epidemic in the United States: lessons from the … prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. … April 19, 2023
Evaluation of policies limiting opioid exposure on opioid prescribing … requiring prior opioid tolerance.
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psnet.ahrq.gov/issue/findings-naloxone-database-and-its-utilization-improve-safety-and-education-tertiary-care
February 22, 2006 - use in opioid-naïve patients. … with mortality from opioid-related overdoses. … January 16, 2019
Association of opioid prescribing with opioid consumption after surgery … for Disease Control and Prevention's 2016 opioid guideline. … August 22, 2018
Outpatient opioid prescriptions for children and opioid-related adverse
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - to identify
undesired opioid-induced sedation and determine when or if a
subsequent opioid dose is … receptor antagonist and is indicated to
treat opioid overdoses … Literature Review: Assessment of Opioid-related Sedation and the Pasero Opioid Sedation Scale. … Pharmacokinetics and “dose stacking”
Opioid Pharmacokinetics and “Dose Stacking” (1)
Opioid Pharmacokinetics … and “Dose Stacking” (2)
Opioid Pharmacokinetics and “Dose Stacking” (3)
Opioid Pharmacokinetics and
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psnet.ahrq.gov/issue/new-persistent-opioid-use-after-postoperative-intensive-care-us-veterans
May 09, 2012 - Study
New persistent opioid use after postoperative intensive care in US veterans … New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. … New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. … requiring prior opioid tolerance. … use in opioid-naïve patients.
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psnet.ahrq.gov/issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-utility
September 14, 2016 - Study
Clinically inconsequential alerts: the characteristics of opioid drug alerts … Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing … This study of opioid prescribing in an academic emergency department found that prescribers had to view … Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing … July 6, 2022
The effect of clinician feedback interventions on opioid prescribing.
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Spotlight
Spotlight
Fatal PCA Opioid-Induced
Respiratory Depression
Source and Credits
• This … PCA.
3
FATAL PCA OPIOID-INDUCED RESPIRATORY
DEPRESSION
A case of postoperative opioid administration … safety
through:
– Proper patient selection (opioid-naïve versus opioid-tolerant)
– Emphasis on oral … Patient-Controlled Analgesia
Opioid-Induced Respiratory Depression (1)
Opioid-Induced Respiratory … Depression (2)
Opioid-Induced Respiratory Depression (3)
Best Practices in opioid PCA use
Identifying
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - that temporarily reverses the effects of an opioid overdose. 2 In 2018, the U.S. … Drug and opioid-involved overdose deaths—United States, 2013–2017. … Reducing the risks of relief—the CDC opioid-prescribing guideline. … No shortcuts to safer opioid prescribing. … Opioid Safety and How to Use Naloxone. California Board of Pharmacy.
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psnet.ahrq.gov/issue/are-opioid-dependence-and-methadone-maintenance-treatment-mmt-documented-medical-record
November 28, 2012 - Study
Are opioid dependence and methadone maintenance treatment (MMT) documented … Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? … This study found that documentation of a patient's opioid dependence or participation in a methadone … Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? … November 28, 2012
Medication for opioid use disorder after nonfatal opioid overdose and
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psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain
March 17, 2021 - Naloxone administration is used to mitigate the effects of opioid overdose . … The FDA recommends health care professionals educate patients about naloxone when prescribing opioid … February 8, 2023
Root cause analysis of adverse events involving opioid overdoses in … for future opioid-related problems. … requiring prior opioid tolerance.
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events … Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital … quality improvement intervention resulted in a significant reduction in adverse drug events due to opioid … Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital … May 31, 2023
Evaluation of policies limiting opioid exposure on opioid prescribing and
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psnet.ahrq.gov/issue/effect-pharmacist-email-alerts-concurrent-prescribing-opioids-and-benzodiazepines-prescribers
September 07, 2022 - November 16, 2022
Association of opioid prescribing with opioid consumption after surgery … cumulatively decreased outpatient opioid prescriptions. … September 27, 2023
Effects of state opioid prescribing laws on use of opioid and other … opioid poisoning. … November 10, 2021
Training in safe opioid prescribing and treatment of opioid use disorder
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psnet.ahrq.gov/issue/pain-alleviation-toolkit
February 19, 2014 - October 18, 2023
Evaluation of policies limiting opioid exposure on opioid prescribing … opioid use. … opioid-free surgical patients. … September 16, 2020
Classification of opioid dependence, abuse, or overdose in opioid-naive … opioid use and misuse.
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
April 13, 2011 - Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. … use in opioid-naïve patients. … Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. … Opioid Epidemic. … July 11, 2018
Medication for opioid use disorder after nonfatal opioid overdose and association
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
October 05, 2016 - Drug monitoring systems can help track opioid prescription activity to mitigate the opioid crisis . … July 20, 2016
Addressing the Opioid Crisis in the United States. … September 20, 2023
How the opioid backlash went wrong. … exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery … March 30, 2022
Effects of state opioid prescribing laws on use of opioid and other pain
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psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
November 17, 2021 - Study
Root cause analysis of adverse events involving opioid overdoses in the Veterans … Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration … Opioid misuse and overdose continues to be a patient safety concern. … Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration … May 31, 2023
How the opioid backlash went wrong.
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psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
March 07, 2018 - April 27, 2022
Effects of state opioid prescribing laws on use of opioid and other pain … use in opioid-naïve patients. … March 24, 2021
Association between in-clinic opioid administration and discharge opioid … Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. … June 19, 2019
Opioid medication discontinuation and risk of adverse opioid-related health
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - fills, making the patient appear
opioid-naïve when she was actually tolerant of high opioid doses. … Demystifying Opioid Conversion Calculations. … In this example, a provider wants to switch a patient from
Opioid A to Opioid B:
41
XX mg TDD Opioid … A x (Opioid B Equianalgesic Dose) = XX mg TDD Opioid B
(Opioid A Equianalgesic Dose)
Once the conversion … Demystifying Opioid Conversion Calculations.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
May 16, 2018 - May 16, 2018
Opioid prescribing after nonfatal overdose and association with repeated … October 15, 2014
Medication for opioid use disorder after nonfatal opioid overdose and … requiring prior opioid tolerance. … for future opioid-related problems. … March 14, 2018
Opioid addiction is the biggest drug epidemic in U.S. history.
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - Case Objectives Define opioid dependence and opioid withdrawal syndrome. … Describe the treatment of opioid withdrawal syndrome including the use of the Clinical Opioid Withdrawal … Physical dependence on an opioid is just one of the seven criteria for the diagnosis of opioid dependence … Illicit opioid use—either heroin use or prescription opioid misuse—is associated with significant harm … Opioid withdrawal symptoms may be so severe and aversive that many opioid-dependent individuals continue
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psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
June 22, 2022 - March 23, 2022
Children and the opioid epidemic: age-stratified exposures and harms. … August 3, 2022
Training in safe opioid prescribing and treatment of opioid use disorder … January 10, 2024
Prescription opioid dose reductions and potential adverse events: a … January 11, 2023
Lessons learned in implementing a chronic opioid therapy management … August 31, 2022
Long-term risk of overdose or mental health crisis after opioid dose