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141. Multifactorial Medication Mishap | PSNet
     psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
     September 01, 2016 - Although he remained in moderate pain, clinicians planned to transition him from intravenous to oral opioids … The patient experienced nausea with pills but told the bedside nurse he had taken liquid opioids in the … The nurse informed the physician that the patient was having significant pain, and liquid opioids had … The patient was given naloxone (an agent that reverses the effect of opioids), and he responded well. … Staff Competency and Education Knowledge gaps in the safe use of opioids may have also contributed

142. Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet
     psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
     November 09, 2016 - The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids such … March 21, 2018 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United … December 21, 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain - … April 6, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids. … September 1, 2021 Opioids in the United Kingdom: safety and surveillance during COVID

143. Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet
     psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
     October 19, 2011 - researchers examined pharmacy claims data on Georgia Medicaid patients without cancer who were prescribed opioids … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery … March 30, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids. … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids … August 25, 2021 Opioids in the United Kingdom: safety and surveillance during COVID-19

144. Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet
     psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
     July 27, 2016 - The misuse of prescription opioids has received attention as both a clinical and public health emergency … contribute to this epidemic and clarifies current evidence to address misunderstandings about therapeutic opioids … Strategies to identify patient risks of prescription opioid addiction when initiating opioids … An electronic intervention to improve safety for pain patients co-prescribed chronic opioids … May 23, 2018 Physician prescribing of opioids to patients at increased risk of overdose

145. Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet
     psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
     May 16, 2018 - Ineffectively prescribed opioids contribute to opioid misuse and overdose among patients. … May 4, 2016 Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce … May 27, 2020 Patient Options for Safe and Effective Disposal of Unused Opioids. … April 4, 2018 AHRQ Announces Interest in Health Services Research to Address the Opioids

146. FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. | PSNet
     psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
     February 17, 2021 - raises awareness of potential harms associated with rapidly decreasing the dose of or discontinuing opioids … It also announces a requirement regarding changes to prescribing information for opioids to provide expanded … May 25, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids. … April 8, 2020 Patient Options for Safe and Effective Disposal of Unused Opioids.

147. Association of pharmaceutical industry marketing of opioid products with mortality from opioid-related overdoses. | PSNet
     psnet.ahrq.gov/issue/association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related
     November 17, 2021 - Little is known as to the extent to which direct-to-provider marketing of opioids by pharmaceutical companies … influences physician prescribing and patient mortality related to overdose from prescription opioids … Further analysis revealed that marketing to providers was associated with increased prescribing of opioids

148. Strategies for flipping the script on opioid overprescribing. | PSNet
     psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing
     May 29, 2019 - This commentary advocates for physicians who recognize that their patients are misusing opioids to carefully … July 19, 2023 Assessment of potentially inappropriate prescribing of opioid analgesics … April 8, 2020 Associations between stopping prescriptions for opioids, length of opioid

149. Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study. | PSNet
     psnet.ahrq.gov/issue/physicians-perspectives-regarding-prescription-drug-monitoring-program-use-within-department
     December 14, 2016 - March 8, 2017 Overprescribing of opioids to adults by dentists in the U.S., 2011-2015 … May 25, 2016 Potentially inappropriate medication combination with opioids among older … August 13, 2014 Associations between stopping prescriptions for opioids, length of opioid … September 16, 2020 Assessment of potentially inappropriate prescribing of opioid analgesics … April 22, 2020 Associations between stopping prescriptions for opioids, length of opioid

150. Addressing Problematic Opioid Use in OECD Countries. | PSNet
     psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
     October 14, 2020 - The overprescribing of prescription opioids heightens the likelihood of opioid dependence and harm. … HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid … Analgesics. … March 9, 2022 Proposed 2022 CDC clinical practice guideline for prescribing opioids. … August 25, 2021 Opioids in the United Kingdom: safety and surveillance during COVID-19

151. Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-different-interventions-help-primary-care-clinicians-avoid-unsafe-opioid-prescribing
     October 26, 2022 - order sets) in the electronic health record (EHR) have been shown to encourage safer prescribing of opioids … From the Same Author(s) Effect of pharmacist email alerts on concurrent prescribing of opioids … August 31, 2022 Potentially inappropriate medication combination with opioids among older … February 15, 2023 Associations between stopping prescriptions for opioids, length of … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids

152. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". | PSNet
     psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event
     September 21, 2022 - Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids … May 30, 2018 Associations between stopping prescriptions for opioids, length of opioid … August 4, 2021 Potentially inappropriate medication combination with opioids among older … January 18, 2023 Inappropriate prescribing of opioids for patients undergoing surgery

153. Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. | PSNet
     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 … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids … May 20, 2020 Associations between stopping prescriptions for opioids, length of opioid

154. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet
     psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
     December 23, 2020 - patients diagnosed with opioid use disorders and others at risk for abuse that receive prescriptions for opioids … August 12, 2020 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 Opioid … Analgesics. … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids

155. Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. | PSNet
     psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation
     March 06, 2019 - Administration (FDA) Risk Evaluation and Mitigation Strategy (REMS) for extended-release/long-acting opioids … A previous WebM&M commentary  describes an adverse event related to long-acting opioids. … July 28, 2010 Prescription opioid analgesics commonly unused after surgery: a systematic … February 22, 2023 Inappropriate prescribing of opioids for patients undergoing surgery

156. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
     July 01, 2008 - Opioid Dependence Defined as a maladaptive pattern of use of illicit or prescription opioids leading … reference. 3 or more of following criteria in past 12 months Physical dependence Tolerance Taking opioids … periods than intended Desiring to cut down or control use Dedicating a large amount of time to procure opioids … or recover from their effects Giving up important activities because of use Using opioids despite … medical illness, primary concern should be stabilizing the patient Short “detoxification” course of opioids

157. Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study | PSNet
     psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
     February 12, 2020 - Prescription opioids play a significant role in the ongoing opioid crisis . … November 1, 2017 Provider bias in prescribing opioid analgesics: a study of electronic … March 16, 2022 Effect of pharmacist email alerts on concurrent prescribing of opioids … September 22, 2021 Provider bias in prescribing opioid analgesics: a study of electronic

158. No shortcuts to safer opioid prescribing. | PSNet
     psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
     March 30, 2016 - Related Resources From the Same Author(s) CDC guideline for prescribing opioids … private Insurance, 2017 June 10, 2020 CDC Clinical Practice Guideline for Prescribing Opioids … November 16, 2022 Mandatory provider review and pain clinic laws reduce the amounts of opioids … 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

159. Opioid Stewardship. | PSNet
     psnet.ahrq.gov/issue/opioid-stewardship
     May 11, 2016 - Strategies to identify patient risks of prescription opioid addiction when initiating opioids

160. Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet
     psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care
     November 18, 2020 - Adherence to prescribing guidelines may help mitigate misuse of prescription opioids. … Strategies to identify patient risks of prescription opioid addiction when initiating opioids … June 6, 2018 Physician prescribing of opioids to patients at increased risk of overdose … April 18, 2018 Opioids and Dentistry.