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1. Appendix-E-Cdspain-Sample-Clinical-Practice-Guidelines (doc file)
   digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
   October 16, 2020 - Appendix E: Tapering Opioid Medication: Considerations for Clinical Practice Rationale Long-term use of opioid … analgesics is the largest risk factor in developing opioid use disorder (OUD).1 Therefore, it is important … carefully weigh the benefits offered by opioid therapies and compare them against risks from use of opioid … analgesics and taper opioid medications if risks outweigh benefits. … HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics

2. Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/disseminating-and-implementing-medsmart-families-emergency-departments
   September 30, 2024 - Preventive Medicine Pediatric opioid misuse has risen sharply, with adolescent deaths from opioids … A significant driver of this crisis is the easy access adolescents have to unused prescription opioids … Many adolescents perceive prescription opioids as safe because they are medications, while parents may … Research shows that adolescents and their families often lack the knowledge needed to safely manage opioids … EDs, which frequently prescribe opioids for adults with adolescents living at home, are an untapped resource

3. AppendixJ_AHRQ_CDSPain (doc file)
   digital.ahrq.gov/sites/default/files/docs/citation/appendix-j-cdspain-additional-resources.docx
   August 12, 2024 - Clinician Resources · Prescribing opioids · Strategies to engage with patients during prescribing, management … , and tapering of opioids · Communicating with empathy · Schedule to assess management of opioids · Evidence

4. Pain Management Resources to Support Clinical Decision Support Artifact Development: An Environmental Scan (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-environmental-scan.pdf
   December 01, 2017 - If and when medications are indicated, providers are encouraged to first consider non-opioid analgesics … analgesics. … Retrieved from http://www.choosingwisely.org/clinician-lists/american-society- anesthesiologists-opioid-analgesics-as-long-term-therapy-for-non-cancer-pain … computerized-painrelieveit-protocol-cancer-pain-control-hospice http://www.choosingwisely.org/clinician-lists/american-society-anesthesiologists-opioid-analgesics-as-long-term-therapy-for-non-cancer-pain … / http://www.choosingwisely.org/clinician-lists/american-society-anesthesiologists-opioid-analgesics-as-long-term-therapy-for-non-cancer-pain

5. A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/randomized-clinical-trial-smartphone-virtual-reality-pain-management-during
   January 01, 2024 - virtual reality app has the potential to be a cost-effective way to alleviate pain, reduce the need for opioids … ongoing wound care with dressing changes for open wounds, which can be extremely painful, often requiring opioids … This is opposed to opioids that reduce pain by blocking pain receptors. … followup work will evaluate the effectiveness of VR-PAT for pain management and reduction in need for opioids

6. Addressing Chronic Pain Through Patient- and Clinician-Facing Clinical Decision Support: Practice Implementation Guide (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/ahrq-cdspain-practice-implemenation-guide-overview-and-appendix-a.pdf
   March 01, 2024 - ......................... 9 1 Introduction Over the last 20 years, the prescribing of opioids … CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016. … Provider and patient perspectives on opioids and alternative treatments for managing chronic pain: a … CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016 | MMWR. https://www.cdc.gov … Patient-centered reduction or discontinuation of long-term opioid analgesics: The HHS guide for clinicians

7. Designing User-Centered Decision Support Tools for Chronic Pain in Primary Care (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
   January 01, 2020 - Prescription opioids have been widely prescribed for chronic noncancer pain, and contributed to opioid … Key Words: Chronic pain, opioids, clinical decision support, primary care … Between April 2016 and July 2018, We recruited 20 PCPs who care for patients with CNCP and prescribe opioids … are often not effective for long-term pain treatment; 3) response to pain and opioids is highly variable … , abuse, or diversion; 9) Prescription drug monitoring database results - For patients prescribed opioids

8. Optimizing Acute Post-Operative Dental Pain Management Using New Health Information Technology | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/optimizing-acute-post-operative-dental-pain-management-using-new-hit
   January 01, 2024 - To mitigate this, dentists pre-emptively prescribe opioids to their patients, despite addiction risk … and inferior post-op pain relief compared to non-opioids. … Actively tracking patient-reported symptoms should decrease the number of patients who are prescribed opioids … Dentists often preemptively prescribe opioids when the use of non-opiate medications may be more appropriate

9. Prescription Drug Monitoring Program Integration in the Electronic Health Record - Final Report (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/r21hs028119-hartung-final-report-2024.pdf
   January 01, 2024 - There was no association between integration of PDMP and overall opioids prescribing, high dose opioid … prescribing, and opioids prescribed with benzodiazepines or other opioids. … Opioid polypharmacy (>=4 opioids from >=4 different prescribers) decreased significantly by -1.47 … prescriptions per providers (p=0.02) Key Words: opioids, prescription drug monitoring programs, electronic … Measures: Aim 1: PDMP query rates Aim 2: Although the focus of our analyses is opioids prescribed

10. Pccds-Ln-Opioid-Action-Plan-2019 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
    January 01, 2019 - In 2017 alone, opioids were involved in 47,600 overdose deaths [4]. … Their discussion includes whether the patient will need or want opioids after surgery. … Opioids are an important use case with sufficiently constrained scope to be achievable and used … / https://www.hhs.gov/opioids/ https://wire.ama-assn.org/delivering-care/10-ways-new-opioids-law-could-help-address-epidemic … "CDC guideline for prescribing opioids for chronic pain — United States."

11. Using Patient-Reported Data to Reduce Opioid Use in Dental Patients | Digital Healthcare Research
    digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/using-patient-reported-data-reduce-opioid-use-dental-patients
    January 01, 2018 - Actively tracking patient-reported symptoms should decrease the number of patients who are prescribed opioids … Dentists often preemptively prescribe opioids when the use of non-opiate medications may be more appropriate

12. Sharing the Decision, Sharing the Data: Interoperable Clinical Decision Support Tool for Chronic Pain Management | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/sharing-decision-sharing-data-interoperable-clinical-decision-support-tool-chronic-pain-management
    January 01, 2023 - Prescription of opioids has been under scrutiny in recent years to control inappropriate prescribing. … While opioids can be part of an appropriate treatment plan for people with chronic pain, Drs.

13. Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
    January 01, 2011 - High-risk commonly used drugs such as opioid analgesics are frequently selected and dosed improperly. … developing and validating a Webbased simulator to train prescribers in the proper selection and dosing of opioids

14. Tools for Optimizing Medication Safety (TOP-MEDS) - 2012 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2012
    January 01, 2012 - High-risk commonly used drugs such as opioid analgesics are frequently selected and dosed improperly. … developing and validating a Web-based simulator to train prescribers in the proper selection and dosing of opioids

15. Optimizing Acute Post-Operative Dental Pain Management Using New Health Information Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/u18hs026135-white-final-report-2022.pdf
    January 01, 2022 - This has led to an over-reliance on pre-emptively prescribed opioids by dental providers because they … Use of Analgesic medications: We assessed the number of participating patients prescribed opioids using … Further, nearly 50% of the prescribed opioids were given by 3 providers. … In fact, of the 327 patients receiving opioids, 92.6% underwent an extraction. … Prescribing Opioid Analgesics for Acute Dental Pain: Time to Change Clinical Practices in Response to

16. Clinical Decision Support for Chronic Pain Management | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-chronic-pain-management-medstar
    August 01, 2024 - It explored methodologies to identify patients at high risk of adverse outcomes from opioids. … The use case of the app changed from tapering of opioids to tracking of outcomes that included touch

17. Implementation Guide: Factors to Consider in Managing Chronic Pain: A Pain Management Summary (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
    December 01, 2018 - • Recommendation #10: When prescribing opioids for chronic pain, clinicians should use urine drug testing … Although inspired by the CDC Opioid Guideline for Prescribing Opioids for Chronic Pain, this artifact … ,” “opioid analgesics,” “opioid agonist,” “narcotics,” and “analgesics, opioids.” … CDC Guideline for Prescribing Opioids for Chronic Pain – United States, 2016. … CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016.

18. Scaling Interoperable Clinical Decision Support for Patient-Centered Chronic Pain Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/scaling-interoperable-clinical-decision-support-patient-centered-chronic-pain-care
    January 01, 2023 - Prescription of opioids has been under scrutiny in recent years to control inappropriate prescribing. … While opioids can be part of an appropriate treatment plan for people with chronic pain, Drs.

19. Clinical Decision Support (CDS) for Chronic Pain Management (ppt file)
    digital.ahrq.gov/sites/default/files/docs/citation/appendix-i-cdspain-patient-app-training.ppt
    August 12, 2024 - Standard deviation =10 points) It is reasonable to expect the mean pain scores for patients taking opioids

20. User-Centered Decision Support Tools for Chronic Pain | Digital Healthcare Research
    digital.ahrq.gov/2020-year-review/research-summary/user-centered-decision-support-tools-chronic-pain
    January 01, 2020 - is important to understand the best treatment plan for the patient, whether it involves prescribing opioids