- 
                                        
psnet.ahrq.gov/node/60570/psn-pdf
June 10, 2020 - Indication-specific opioid prescribing for US patients with
Medicaid or private Insurance, 2017
June … Indication-specific opioid prescribing for US patients with
Medicaid or private Insurance, 2017. … the risk of
opioid-related harm. … Opioid
prescribing rates varied depending on the specific medical indication and the patient’s opioid … https://psnet.ahrq.gov/primer/opioid-safety
                                     
                                                                    - 
                                        
hcup-us.ahrq.gov/reports/statbriefs/sb271-Stimulant-Opioid-Hospitalizations-2012-2018.pdf
January 01, 2018 - but no stimulant-
related diagnosis (opioid-only stays), stimulant-related diagnosis 
but no opioid-related … (137,600)
Total 
stimulant
(54,100)
Total 
opioid
(160,000)
Total 
stimulant
(94,600)
Total 
opioid … (340,600)
Total 
stimulant
(137,900)
Total 
opioid
(200,200)
Total 
stimulant
(77,900)
Total 
opioid … opioid-only stays with Medicaid (236,700 stays), more than two times the number of opioid-only 
stays … Opioid type dependence, unspecified 
30401 Opioid type dependence, continuous 
30402 Opioid type dependence
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/847718/psn-pdf
April 19, 2023 - Effect of a Veterans Health Administration mandate to
case review patients with opioid prescriptions … on
mortality among patients with opioid use disorder: a
secondary analysis of the STORM randomized … Effect of a Veterans Health Administration mandate to case review
patients with opioid prescriptions … on mortality among patients with opioid use disorder: a secondary
analysis of the STORM randomized … https://psnet.ahrq.gov/issue/effect-veterans-health-administration-mandate-case-review-patients-opioid
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - Alternatives to opioid education and a prescription drug
monitoring program cumulatively decreased outpatient … opioid prescriptions. … opioid prescriptions. … https://psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program- … This study analyzed the
impact of implementing three quality improvement interventions on the opioid
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - Medication use evaluation of high-dose long-term opioid
de-prescribing in multiple Veterans Affairs … Medication use evaluation of high-dose long-term opioid de-
prescribing in multiple Veterans Affairs … https://psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple … https://psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events … https://psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/73348/psn-pdf
June 02, 2021 - Association of opioid consumption profiles after
hospitalization with risk of adverse health care events … Association of opioid consumption profiles after
hospitalization with risk of adverse health care events … https://psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse … , approximately 16% experienced an opioid-related
emergency department visit, hospital readmission, … /issue/opioid-wisely
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute … opioid prescribing
policies and practice. … prescriptions after changes in opioid prescribing policies in North Carolina. … https://psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - Deaths among opioid users: impact of potential
inappropriate prescribing practices. … Deaths among opioid users: impact of potential inappropriate
prescribing practices. … Inappropriate opioid prescribing increases risk of patient harm and misuse. … They found a higher odds of death among opioid users with at least a single incidence
of inappropriate … opioid prescribing compared to opioid users who did not experience inappropriate
prescribing.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/47801/psn-pdf
May 11, 2019 - Opioid prescribing trends and the physician’s role in
responding to the public health crisis. … Opioid Prescribing Trends and the Physician's Role in Responding to the Public
Health Crisis. … Physicians are in a unique position to address conditions that contribute to the opioid epidemic. … https://psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events … https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
https://psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Patient Safety Events Involving Opioid Dose Stacking
January 26, 2022
Porras H, Lammers C. … Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. 2022. … validated opioid assessment tool that can be used by nurses to
identify undesired opioid-induced sedation … Literature Review: Assessment of Opioid-related Sedation and the Pasero
Opioid Sedation Scale. … Assessment of Sedation During Opioid Administration for Pain Management. 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/61071/psn-pdf
January 01, 2021 - Changes in early high-risk opioid prescribing practices
after policy interventions in Washington State … risk opioid prescribing practices after
policy interventions in Washington State. … https://psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions … -
washington
Reducing opioid-related harm is a major patient safety priority. … https://psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - Association of current opioid use with serious adverse
events among older adult survivors of breast … Association of current opioid use with serious adverse events among
older adult survivors of breast … https://psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult- … survivors-breast
Chronic opioid use for noncancer pain is a well-established patient safety problem … https://psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
                                     
                                                                    - 
                                        
integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
February 01, 2025 - Methadone  is a full opioid agonist that fully binds to opioid receptors in the brain, which activates … Buprenorphine  is a partial opioid agonist, so it does not fully activate the opioid receptors. … Opioid Use Disorder: What Is Opioid Addiction? 2017. … https://pcssnow.org/courses/opioid-use-disorder-what-is-opioid-addiction /. Accessed May 13, 2019. … Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs . 2012.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/867147/psn-pdf
November 13, 2024 - Opioid prescribing for acute pain management in children
and adolescents in outpatient settings: clinical … Opioid Prescribing for Acute Pain Management in Children and
Adolescents in Outpatient Settings: Clinical … https://psnet.ahrq.gov/issue/opioid-prescribing-acute-pain-management-children-and-adolescents-
outpatient-settings … This clinical guideline
outlines safe opioid prescription practices for children and adolescents. … https://psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic … CDC guideline for opioid prescribing associated with reduced
dispensing to certain patients with chronic … https://psnet.ahrq.gov/issue/cdc-guideline-opioid-prescribing-associated-reduced-dispensing-certain- … prescribing and opioid dispensing for patients with four common chronic pain diagnoses. … https://psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov/issue/opioid-prescribing-after-nonfatal-overdose-and-association-repeated-overdose-cohort-study
                                     
                                                                    - 
                                        
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
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - A code blue was called for opioid and benzodiazepine overdose. … adverse event, including opioid doses in excess of 100 mg daily, use of multiple opioid drugs with likely … Always combine opioid and non-opioid analgesics to maximize analgesia and reduce opioid requirements. … Trends in long-term opioid therapy for chronic non-cancer pain. … risk of adverse opioid-related health care events.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - Predictors of serious opioid-related adverse drug events
in hospitalized patients. … Predictors of serious opioid-related adverse drug events in
hospitalized patients. … https://psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients … /increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states … /web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
                                     
                                                                    - 
                                        
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 … Methadone and buprenorphine treatments are available for both opioid dependence and opioid withdrawal
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/60967/psn-pdf
September 30, 2020 - Electronic medical record-based interventions to
encourage opioid prescribing best practices in the … Electronic medical record-based interventions to encourage
opioid prescribing best practices in the … https://psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing … https://psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov/primer/opioid-safety
https://psnet.ahrq.gov … /issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety