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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47269/psn-pdf
     August 15, 2018 - opportunities for health services research to assess local, state, and system-level policy to address the opioid … crisis, evaluate interventions to minimize opioid misuse, and understand the rapid increase in opioid-related … https://psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts … -2011-2015 https://psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans … https://psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46948/psn-pdf
     April 16, 2018 - Opioid-related critical care resource use in US children's hospitals. … Opioid-Related Critical Care Resource Use in US Children's Hospitals. … https://psnet.ahrq.gov/issue/opioid-related-critical-care-resource-use-us-childrens-hospitals Opioid-related … This study retrospectively examined critical care unit hospitalizations for opioid ingestions among … The authors call for stronger efforts to address the impact of the opioid epidemic on children.

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47223/psn-pdf
     August 14, 2018 - Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. … https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-opioid-management- primary-care … In light of the current opioid crisis, the use of opioids to manage noncancer-related chronic pain … https://psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care … https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46118/psn-pdf
     December 20, 2017 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally … Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally … https://psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective- … operations-nationally The large surge in opioid use is a serious patient safety problem. … /preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45472/psn-pdf
     September 29, 2017 - Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. … Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. … https://psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts … - 2011-2015 Adverse drug events related to opioid medications are a significant patient safety concern … -2011-2015 https://psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events https://psnet.ahrq.gov

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45652/psn-pdf
     June 29, 2017 - Increases in drug and opioid overdose deaths—United States, 2000–2015. … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015 Opioid … Opioid overdose deaths are increasing each year, through 2015, and current rates are the highest ever … A previous WebM&M commentary described a fatal opioid overdose.

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46775/psn-pdf
     March 07, 2018 - prescribing of opioids in the emergency department are needed to change practice and help address the opioid … , which used alternative pain control approaches to reduce opioid prescriptions by an average of 36% … An Annual Perspective highlighted opioid misuse as a patient safety challenge. … https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015 https … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46464/psn-pdf
     November 01, 2017 - Opioid abuse and poisoning: trends in inpatient and emergency department discharges. … Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. … Coincident with the decline in opioid-related visits, a sharp rise in heroin-related hospital visits … These results underscore the concern that tighter controls on opioid medications may lead to heroin … https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46819/psn-pdf
     January 27, 2019 - Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study … Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study … An Annual Perspective described other initiatives to reduce opioid-related harm. … https://psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications

470. Revised Protocol - Opioids 12 13 13[1] (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-pain-opioid-treatment_research-protocol.pdf
     December 19, 2013 - vs. placebo or non-opioid therapy (including usual care) • For KQ Ic: Opioid vs. non-opioid therapy … plus non-opioid therapy (pharmacological or non- pharmacological) vs. opioid or non-opioid therapy alone … vs. another long-acting opioid • For KQ IIId: Short- plus long-acting opioid vs. long-acting opioid … Association between opioid prescribing patterns and opioid overdose-related deaths. … : 7. exp Analgesics, Opioid/ Opioids 8. opioid*.mp (includes alone 9.

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45615/psn-pdf
     October 26, 2016 - used a difference-in-differences analysis to examine whether a policy approach could reduce harm from opioid … In states with mandated review, opioid prescribers must check whether patients are receiving opioids … from multiple prescribers and identify the total prescribed opioid dose. … A previous WebM&M commentary described opioid-related harm. … https://psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/issue/state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46529/psn-pdf
     November 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. … Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. … https://psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data … - systematic-review Safer opioid prescribing requires that providers and systems are able to identify … https://psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45469/psn-pdf
     January 18, 2017 - Tamper-resistant drugs cannot solve the opioid crisis. … Tamper-resistant drugs cannot solve the opioid crisis. … have implemented various strategies to address the opioid epidemic. … This commentary explains why use of tamper-resistant drug formulations to avert opioid-related harm … is unlikely to work and may hinder policy-focused solutions to improve opioid prescribing and use.

474. Opioidsimpactonseniors (pdf file)
     hcup-us.ahrq.gov/reports/infographics/OpioidsImpactonSeniors.pdf
     September 01, 2018 - 268 199 Hospitalizations Per 100,000 Population34% increase in the rate of opioid- related … hospitalizations 2010 2015 Filled at least 1 opioid prescription Filled 4 or more opioid prescriptions … use among seniors, including the average annual number of seniors who filled opioid prescriptions … in 2015 and 2016 and the increase in opioid-related hospitalizations among seniors between 2010 and … Opioid-Related Hospitalizations Among Seniors, 2010-2015 Source: HCUP, Opioid-Related Inpatient Stays

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46870/psn-pdf
     March 14, 2018 - Opioid Wisely. March 14, 2018 Choosing Wisely Canada. … https://psnet.ahrq.gov/issue/opioid-wisely Opioid misuse is a concern in both the United States and … An Annual Perspective discussed the opioid crisis as a patient safety concern. … https://psnet.ahrq.gov/issue/opioid-wisely https://psnet.ahrq.gov/issue/opioid-overdose https://psnet.ahrq.gov … /perspective/patient-safety-and-opioid-medications

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46276/psn-pdf
     August 02, 2017 - Vital signs: changes in opioid prescribing in the United States, 2006-2015. … Vital Signs: Changes in Opioid Prescribing in the United States, 2006- 2015. … of retail prescription data revealed that opioid prescribing has declined from a peak in 2010, but … These results are consistent with prior studies about the opioid epidemic. … ://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015

477. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
     July 01, 2008 - dependence and opioid withdrawal syndrome Describe the treatment of opioid withdrawal syndrome including … Three methods of opioid detoxification in a primary care setting. A randomized trial. … dependence and opioid withdrawal Take-Home Points Opioid dependence is a chronic, treatable medical … condition The clinical opioid withdrawal scale (COWS) can be a useful objective measure of opioid withdrawal … Methadone and buprenorphine treatments are available for treatment of both opioid dependence and opioid

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45144/psn-pdf
     November 23, 2016 - Strategies for flipping the script on opioid overprescribing. … Strategies for Flipping the Script on Opioid Overprescribing. … https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing Opioid misuse is at epidemic … https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing https://psnet.ahrq.gov … /issue/attacking-opioid-crisis-head-health-it https://psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46154/psn-pdf
     June 07, 2017 - Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers … Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Providers … The opioid crisis is one of the nation's most pressing patient safety problems. … However, this Michigan study found no relationship between postoperative opioid prescribing and patient … satisfaction scores, indicating that efforts to reduce opioid prescribing may not adversely affect

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46353/psn-pdf
     August 23, 2017 - Addressing the Opioid Epidemic: Is There a Role for Physician Education? … https://psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education Overprescribing … is seen as a contributor to the current opioid epidemic. … A recent PSNet perspective explored opioid overdose as a patient safety problem. … /opioid-overdose-patient-safety-problem