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81. ACTION III 2019 Project Summaries (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION%20-III-2019-Project-Summaries.pdf
    January 01, 2019 - Trends in long-term opioid therapy for chronic non-cancer pain. … Management of chronic pain in the aftermath of the opioid backlash. … and management of opioid use in older adults … Risk of injury associated with opioid use in older adults. … Trends in opioid analgesic-prescribing rates by specialty, U.S., 2007-2012.

82. 2018 National Healthcare Quality and DIsparities Report (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
    September 01, 2019 - of Care by Residence Location Changes in Disparities by Residence Location Inpatient Stays Due to Opioid … Among Older Adults Dementia Measures Emergency Department Visits With Dementia Dementia Mortality Opioid … Use Opioid Measures Opioid Prescriptions Opioid Use Disorder Opioid-Related Mortality Overdose … Deaths Involving Any Opioid Overdose Deaths Involving Natural and Semisynthetic Opioids and Overdose

83. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
    December 15, 2023 - initiative around workflows specific to the unique needs of older adults, including screening for opioid-related … with upcoming appointments and created an appointment note for older adult patients on long-term opioid … Metrics: To track implementation progress, the QI team monitored screening rates of older adults with opioid … The request to introduce the embedded patient questionnaire to screen for other opioid-related risks … New Resource for Primary Care Practice The Agency for Healthcare Research and Quality published the Opioid

84. 50-Multimodal-Analgesia-Facilitator (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
    June 01, 2023 - perioperative multimodal analgesia typically refers to the use of nonopioids, with the goal to minimize overall opioid … Tramadol, which has a weak opioid receptor activity compared to morphine, works primarily through the … However, if pain remains poorly managed or patients present with a history of chronic opioid use, additional … Dexmedetomidine, whose alpha2 agonist action closely mimics that of clonidine, has been shown to reduce opioid … consistently show that these techniques provide superior pain control while minimizing the need for opioid

85. Data Brief Provides Insights Into Heat-Related Emergency Department Visits | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/812.html
    April 01, 2022 - Dental Opioid Prescriptions Have Fallen Over Time, AHRQ Study Finds . … Dental Opioid Prescriptions Have Fallen Over Time, AHRQ Study Finds Opioid prescriptions written by … The decline accelerated after 2016, following the implementation of strategies aimed to regulate opioid … prescribing and determining if reductions in dental opioid prescribing results in clinically meaningful … decreases in opioid-related outcomes.

86. U.S. Adults Who Use Opioids for Chronic Pain, 2013-2015 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/infographics/opioids-chronic-pain.html
    August 01, 2019 - Use Opioids for Chronic Pain, 2013-2015 (PDF, 167 KB) Source: MEPS Research Findings #43: Annual Opioid

87. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
    August 01, 2022 - Whether it’s building an opioid tapering app or trying to improve misdiagnosis of cardiovascular disease … engineering methods to develop clinical decision support systems to help patients safely taper from long-term opioid … “Opioid tapering is a highly sensitive subject,” Dr. … identifies patients at high risk of harm from opioids and provides evidence-based guidelines to support opioid … The app includes a calculator that displays the recommended drop in opioid-dose reduction, which can

88. AHRQ Works: Building Bridges Between Research and Practice | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/cpi/about/impact/index.html
    April 01, 2017 - AHRQ currently funds Project ECHO to reduce opioid abuse in rural communities. … Primary care doctors and nurses on the frontlines of the opioid epidemic are receiving remote training … AHRQ Data on Opioid Hospitalizations and Emergency Department Visits Analysis from AHRQ’s Healthcare … According to AHRQ’s analysis, the rate of opioid-related hospital stays increased 64 percent between … The data illustrate the wide divide among States in opioid-related hospitalizations: In 2014, Maryland

89. Data and Analytics | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/opioids/data/index.html
    July 01, 2021 - Data Analyses Health Systems Research Practice Improvement About AHRQ’s Opioid

90. AHRQ Safety Program for Enhanced Recovery After Surgery
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
    June 01, 2023 - preoperative components resulted in: Faster return of bowel function,  ileus,  length of stay (LOS),  opioid … use,  pain,  PONV,  SSI Postoperative components resulted in: Decreased pain,  PONV,  opioid … preoperative components resulted in: Faster return of bowel function,  LOS Decreased pain,  PONV,  opioid … use Intraoperative components resulted in: Decreased pain,  PONV,  opioid use Decreased pulmonary … complications Decreased morbidity,  LOS Postoperative component resulted in: Decreased pain,  PONV,  opioid

91. Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
    April 01, 2014 - mild‐to‐moderate pain should include NSAIDs or acetaminophen • If mild‐to‐moderate pain persists, and opioid … Persistent or moderate‐to‐severe pain relies on repeated assessments and appropriate increases in opioid … frequent assessment to maintain pain control, make adjustments due to tolerance or adverse effects of opioid … steps: treat the cause, if possible; begin analgesics; start fluids; for acute pain, administer an opioid … Patients with severe pain should be given an opioid parenterally at frequent, fixed intervals, not as

92. AHRQ Views Blog: We Must Not Underestimate the Impacts of Gun Violence on Healthcare Workers | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/842.html
    December 01, 2022 - Older Opioid Patients Experience More Adverse Events After Injury . … Older Opioid Patients Experience More Adverse Events After Injury Chronic non-cancer pain Medicare … a 1.4 times greater risk of future opioid-related adverse events than those patients who did not experience … The findings indicated that identifying injuries that emerge after opioid initiation may assist in the … Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

93. Data Resources | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/data/resources/index.html?page=5
    April 03, 2024 - Trends in Opioid-Related Hospitalizations This interactive maps provides trends in opioid-related hospitalizations … Also available at the county level for 32 states are opioid-related hospitalization discharges and rates

94. AHRQ Works: Building Bridges Between Research and Practice (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
    April 01, 2017 - AHRQ currently funds Project ECHO to reduce opioid abuse in rural communities. … Primary care doctors and nurses on the frontlines of the opioid epidemic are receiving remote training … (Figure 5) State-specific opioid data from HCUP help show where the burdens on hospital care have grown … According to AHRQ’s analysis, the rate of opioid-related hospital stays increased 64 percent between … had the highest rate of opioid-related hospital stays (404 stays per 100,000 population)—5.5 times

95. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - October 24, 2023 AHRQ Stats: Racial Differences in Opioid Use Among Older Adults In 2020-2021, 14 … percent of non-Hispanic White adults aged 65 and older filled an opioid prescription on average annually … AHRQ Topic Brief Supports Primary Care Treatment of Opioid Use Disorder . … AHRQ Topic Brief Supports Primary Care Treatment of Opioid Use Disorder The AHRQ Academy , which aims … new topic brief to help primary care clinicians deliver low-threshold treatment for patients with opioid

96. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
    October 01, 2022 - However, data collected for the NHQDR are better suited for monitoring trends in concerns related to opioid … than used in prior waves of the opioid epidemic … Deaths from any opioid in 2020 were highest in non-Hispanic American Indian or Alaska Native (28.1), … • Despite the rising incidence of opioid-related deaths, the percentage of people age 12 and over … “Semisynthetic opioids” refer to substances synthesized from a naturally occurring opioid, such as oxycodone

97. For AHRQ in 2020, an Unforgettable Year of Daunting Challenges and Vital Accomplishments | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/ahrq-in-2020.html
    January 01, 2021 - The Agency also maintained its commitments to address other vital areas, including efforts to end opioid … Addressing the Opioid Crisis AHRQ’s unique capabilities to collect and analyze healthcare data added … significantly to the Nation’s efforts to curb the opioid epidemic. … Another analysis quantified the burden of opioid hospitalizations in both urban and rural communities … Seven comprehensive reports developed by our EPC program were used to update Federal opioid-prescribing

98. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
    April 01, 2022 - Enhanced safety for opioid prescription management processes for adults in a primary care clinic. … at Brigham and Women’s Hospital developed a system of workflows to improve management of chronic opioid … Lessons learned in implementing a chronic opioid therapy management system. … Use of systems-theoretic process analysis to design safer opioid prescribing processes. … Lessons learned in implementing a chronic opioid therapy management system.

99. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
    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 - Numerous factors can lead to opioid-related RD: prescribing errors, PCA pump programming errors, “PCA … If detected early, most cases of opioid-related RD can be treated with naloxone. … However, severe cases can be fatal.11 PCA opioid-induced episodes of bradypnea and desaturation can … These included cases in which PCA programming was correct, and opioid dosing was within established … Capnography provides the earliest indication of opioid-induced RD.

100. Dentists Prescribing Fewer High-Alert Drugs to Children | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/850.html
     February 01, 2023 - They attributed the change partly to new opioid prescribing recommendations for adults published in 2016 … The incidence of opioid misuse among the surgical patients with persistent opioid use .