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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - • Continuous capnography and/or pulse oximetry should be used in all patients receiving PCA opioidsOpioids, ventilation and acute pain management. Anaesth Intensive Care. 2011;39(4):545-558. 6. … Dangers of postoperative opioids: is there a cure? Bull Am Coll Surg. 2010;95(2):21-22. 11. … Association of Opioids and Sedatives with Increased Risk of In-Hospital Cardiopulmonary Arrest from … Safe use of opioids in hospitals. Sentinel Event Alert. 2012;49(8):1-5. 15.
  2. psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
    October 28, 2020 - unintended consequences associated with the practice, including clinician reluctance to prescribe opioids … August 15, 2007 Ten ERs in Colorado tried to curtail opioids and did better than expected … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … December 21, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids
  3. psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
    April 01, 2020 - Opioids are considered high-risk medications and overdoses are common. … from 2010 to 2013, the risk of suicide and overdose events among VA patients receiving prescription opioids … Related Resources From the Same Author(s) Associations between stopping prescriptions for opioids … March 10, 2021 Opioids and falls risk in older adults: a narrative review. … May 20, 2020 Associations between stopping prescriptions for opioids, length of opioid
  4. psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
    August 25, 2021 - have been raised about the potential harms associated with rapidly decreasing doses or discontinuing opioids … August 10, 2022 Associations between stopping prescriptions for opioids, length of opioid … May 4, 2022 Effect of pharmacist email alerts on concurrent prescribing of opioids and … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … March 2, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids.
  5. psnet.ahrq.gov/web-mm/dependence-vs-pain
    October 30, 2019 - disorder opioid dependence is defined as a maladaptive pattern of use of illicit or prescription opioids … in the past 12 months.( 1 ) These diagnostic criteria include physical dependence, tolerance, taking opioids … than intended, desiring to cut down or control use, dedicating a large amount of time to procuring opioids … or recovering from their effects, giving up important activities because of their use, and using opioids … November 16, 2016 An E.R. kicks the habit of opioids for pain.
  6. psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
    September 05, 2018 - Concern has been raised that overprescribing of opioids may be an unintended consequence of efforts … August 20, 2008 Provider bias in prescribing opioid analgesics: a study of electronic … Insurance, 2017 June 10, 2020 Assessment of potentially inappropriate prescribing of opioidanalgesics requiring prior opioid tolerance. … Strategies to identify patient risks of prescription opioid addiction when initiating opioids
  7. psnet.ahrq.gov/issue/adverse-events
    March 21, 2007 - June 29, 2016 Opioids in Medicare Part D: Concerns About Extreme Use and Questionable … HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term OpioidAnalgesics. … December 6, 2017 Patient Options for Safe and Effective Disposal of Unused Opioids. … April 24, 2024 Provider bias in prescribing opioid analgesics: a study of electronic
  8. psnet.ahrq.gov/web-mm/miscalculated-risk
    December 03, 2008 - analgesics. … analgesics, particularly when starting treatment or changing doses. … In general, use of long-acting opioid analgesics should be reserved for persons who are opioid-tolerant … Opioid analgesics. In: McCaffery M, Pasero C, eds. Pain: Clinical Manual. 2nd ed. St. … Confusion between opioid analgesics results in deaths. USP Quality Review No. 46. February 1995.
  9. psnet.ahrq.gov/issue/disclosure-adverse-events-patients
    March 21, 2018 - HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term OpioidAnalgesics. … July 25, 2018 Opioids in Medicare Part D: Concerns About Extreme Use and Questionable … November 9, 2011 Prescription Opioids: Medicare Needs to Expand Oversight Efforts to … December 14, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain -
  10. psnet.ahrq.gov/issue/opioid-prescribing-opioid-naive-patients-emergency-departments-and-other-settings
    August 29, 2018 - Prior research has shown that prescribing opioids to opioid-naïve patients at the time of hospital discharge … August 29, 2018 Assessment of potentially inappropriate prescribing of opioid analgesics … Frequent Hospitalizations September 29, 2021 Provider bias in prescribing opioidanalgesics: a study of electronic medical records at a hospital emergency department. … March 14, 2018 Ten ERs in Colorado tried to curtail opioids and did better than expected
  11. psnet.ahrq.gov/periodic-issue/periodic-issue-278
    February 10, 2021 - Inappropriate prescribing of opioids is a major contributor to the ongoing opioid epidemic. … clinics in need of a new provider because their previous physician had retired or stopped prescribing opioids … Findings indicate that primary care providers were generally unwilling to prescribe opioids to patients … Inappropriate prescribing of opioids is a major contributor to the ongoing opioid epidemic. … Findings indicate that primary care providers were generally unwilling to prescribe opioids to patients
  12. psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect
    December 05, 2012 - Overprescribing of opioids is a serious and worsening problem. … February 11, 2009 Effect of pharmacist email alerts on concurrent prescribing of opioids … October 17, 2012 Overdose risk in young children of women prescribed opioids. … January 14, 2015 Associations between stopping prescriptions for opioids, length of opioid … December 14, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain -
  13. psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
    April 17, 2024 - Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids … were designed to help mitigate risk factors for overdose and suicide among veterans who are prescribed opioids … with opioid use disorder (OUD) and are served by the VHA. 1 Veterans, particularly those prescribed opioids … In 2013, the VHA launched the Opioid Safety Initiative to promote the safe and effective use of opioidanalgesics.
  14. psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
    October 11, 2023 - study describes a quality improvement program that included chart review of patients taking high-dose opioids … in a decrease in overall opioid use as well as a reduction in coprescribing of benzodiazepines and opioids … 2021 Assessing reasons for decreased primary care access for individuals on prescribed opioids … Respiratory Depression May 27, 2020 Associations between stopping prescriptions for opioids … September 27, 2017 Association between concurrent use of prescription opioids and benzodiazepines
  15. psnet.ahrq.gov/issue/interventions-reduction-prescribed-opioid-use-chronic-non-cancer-pain
    April 19, 2023 - Overuse of opioids to treat chronic pain places patients at risk for adverse outcomes , including increased … March 28, 2007 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United … Strategies to identify patient risks of prescription opioid addiction when initiating opioids … June 6, 2018 Clinicians' perceptions of medication errors with opioids in cancer and … May 16, 2018 Physician prescribing of opioids to patients at increased risk of overdose
  16. psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
    September 25, 2019 - Prescription opioids play a significant role in the ongoing opioid crisis . … September 22, 2021 Provider bias in prescribing opioid analgesics: a study of electronic … September 7, 2022 Effect of pharmacist email alerts on concurrent prescribing of opioids … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids … September 22, 2021 Provider bias in prescribing opioid analgesics: a study of electronic
  17. psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
    March 13, 2019 - January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids
  18. psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-months
    August 22, 2018 - October 6, 2021 Effect of pharmacist email alerts on concurrent prescribing of opioids … November 30, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … December 14, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … July 13, 2022 Opioids and falls risk in older adults: a narrative review. … March 23, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids.
  19. psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vulnerable
    March 27, 2019 - September 5, 2012 Mandatory provider review and pain clinic laws reduce the amounts of opioids … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … December 14, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids … 2021 Assessing reasons for decreased primary care access for individuals on prescribed opioids
  20. psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
    March 30, 2016 - Related Resources From the Same Author(s) CDC guideline for prescribing opioids … August 2, 2017 Mandatory provider review and pain clinic laws reduce the amounts of opioids … August 23, 2017 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United … December 14, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … October 14, 2020 Potentially inappropriate medication combination with opioids among

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