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461. 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

462. 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

463. 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

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47917/psn-pdf
     April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles of pharmacists. … The opioid crisis: Origins, trends, policies, and the roles of pharmacists. … https://psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists The origins … of the opioid epidemic are multifactorial in nature. … This review provides an overview of the opioid crisis and describes current interventions to address

465. 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

466. 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

467. 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

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47134/psn-pdf
     March 04, 2019 - Association of hydrocodone schedule change with opioid prescriptions following surgery. … Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. … https://psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following- … prescribing in the face of the ongoing opioid epidemic. … The effect of national regulatory initiatives on opioid prescribing remains unclear at present, but

469. 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

470. 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.

471. 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

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47868/psn-pdf
     March 20, 2019 - Could CDC guidelines be driving some opioid patients to suicide? March 20, 2019 Dickson EJ. … https://psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide Unintended … /issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic https://psnet.ahrq.gov … /issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths https://psnet.ahrq.gov … /issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors https://psnet.ahrq.gov

473. 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

474. 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

475. 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

476. 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

477. 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

478. 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

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46078/psn-pdf
     June 14, 2017 - Prescription opioid exposures among children and adolescents in the United States: 2000–2015. … Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. … https://psnet.ahrq.gov/issue/prescription-opioid-exposures-among-children-and-adolescents-united-states … - 2000-2015 Opioid use remains a high priority safety issue. … This retrospective study of data from the National Poison Data System reveals that opioid ingestions

480. Table 1 (pdf file)
     hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/TableofChanges2017_2.pdf
     January 01, 2017 - abuse with intoxication delirium DRUG F11150 Opioid abuse with opioid-induced psychotic disorder … with delusions DRUG F11151 Opioid abuse with opioid-induced psychotic disorder with hallucinations … disturbance F1193 Opioid use, unspecified with withdrawal F1194 Opioid use, unspecified with opioid-induced … F11981 Opioid use, unspecified with opioid-induced sexual dysfunction F11982 Opioid use, unspecified … with opioid-induced sleep disorder F11988 Opioid use, unspecified with other opioid-induced disorder