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integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
July 01, 2024 - Initiatives
AHRQ Older Adult Opioid Initiative
The Opioids … use in younger and middle-aged adults, older adults have also been affected by the widespread use of opioids … The number of older adults who reported misusing opioids almost tripled from 2012 to 2019 1, 2 , and … Both patients and providers have struggled to adapt to new guidelines advocating judicious use of opioids … Products and Resources
Opioids in Older Adults Compendium
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psnet.ahrq.gov/node/46344/psn-pdf
October 13, 2018 - More than one-third of adults reported using prescription opioids in the past year and nearly 5% reported … misusing opioids (defined as any use not directed by a physician, including use without a prescription … The majority of patients who misused opioids did so
without a prescription, with many patients obtaining … opioids from friends or relatives. … Among those who
misused opioids, most did so seeking relief from pain—indicating that untreated pain
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psnet.ahrq.gov/node/46278/psn-pdf
July 19, 2017 - https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
Surgeons often prescribe opioids … preoperative, postoperative, and outpatient care stages to address the potential for unsafe use of opioids … predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
https://psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states … -2004-2012
https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
https://psnet.ahrq.gov/perspective
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psnet.ahrq.gov/node/41606/psn-pdf
February 01, 2019 - Safe use of opioids in hospitals.
December 23, 2016
Sentinel Event Alert. 2012;49:1-5. … https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
Opioid pain medications are considered high-risk … Because these medications are frequently used to treat acute pain in
the hospital, opioids account for … https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
September 01, 2021 - The root causes of the opioid epidemic are complex, but inappropriate prescribing of opioids (which … includes both prescribing opioids in situations where they are not indicated as well as excessive prescribing … prescribing rose considerably as the workday progressed; clinicians were also more likely to prescribe opioids … 2021
Assessing reasons for decreased primary care access for individuals on prescribed opioids
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psnet.ahrq.gov/issue/opioid-taskforce-playbook
May 01, 2023 - Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/acute-pain-ems-protocol-amendment.pdf
January 28, 2019 - Non-opioid
analgesics, including ketamine, nitrous oxide/oxygen, acetaminophen, and non-steroidal
anti-inflammatory … Review
This systematic review will assess the comparative effectiveness and harms of opioid and
non-opioid … analgesics for the prehospital management of acute pain to support a revision
of the current guidelines … Interventions:
• KQ 1-4:
o Opioids (morphine, fentanyl) or non-opioids (ketamine, nitrous
oxide … We will present other
comparisons (non-opioids to non-opioids or opioids to opioids) as supplemental
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2023-surv-rep-4-table-E-5.xlsx
January 01, 2023 - B
Between-cohort differences in discontinuation of strong opioid analgesics: 71.6% vs. 33.8%, p<0.001 … analgesics as an add-on treatment Mean (SD)
A: 6.2 (2.4) sprays/day (16.74 mg THC/15.5 mg CBD)
B: MME … B
Mean number of background pain medications use at 6 months:
Mild opioid analgesics: 0.02 (SD 0.14) … vs. 0.07 (SD 0.27)
Strong opioid analgesics: 0.22 (SD 0.59) vs. 0.21 (SD 0.60)
Mean rescue pain medication … use at 6 months:
Mild opioid analgesics: 0.00 (SD 0.06) vs. 0.04 (SD 0.20)
Strong opioid analgesics:
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cannabis-2022-surv-rep-4-table-F5.xlsx
January 01, 2022 - B
Between-cohort differences in discontinuation of strong opioid analgesics: 71.6% vs. 33.8%, p<0.001 … analgesics as an add-on treatment Mean (SD)
A: 6.2 (2.4) sprays/day (16.74 mg THC/15.5 mg CBD)
B: MME … B
Mean number of background pain medications use at 6 months:
Mild opioid analgesics: 0.02 (SD 0.14) … vs. 0.07 (SD 0.27)
Strong opioid analgesics: 0.22 (SD 0.59) vs. 0.21 (SD 0.60)
Mean rescue pain medication … use at 6 months:
Mild opioid analgesics: 0.00 (SD 0.06) vs. 0.04 (SD 0.20)
Strong opioid analgesics:
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psnet.ahrq.gov/node/46775/psn-pdf
March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better
than expected. … https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
Innovations … in the prescribing of opioids in the emergency department are needed to change practice and
help address … https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
https://psnet.ahrq.gov
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www.ahrq.gov/ncepcr/research/care-management/index.html
December 01, 2023 - Opioids and Older Adults : This AHRQ initiative focuses on the prevention, diagnosis, and management … of opioids, opioid misuse, and opioid disorder in older adults. … Technical Brief: Prevention, Diagnosis and Management of Opioids, Opioid Misuse, and Opioid Use Disorder
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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 … December 9, 2020
Patient Options for Safe and Effective Disposal of Unused Opioids. … December 6, 2017
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to
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psnet.ahrq.gov/issue/trends-medical-and-nonmedical-use-prescription-opioids-among-us-adolescents-1976-2015
January 23, 2019 - Study
Trends in medical and nonmedical use of prescription opioids among US adolescents … Trends in Medical and Nonmedical Use of Prescription Opioids Among US Adolescents: 1976-2015. … Trends in Medical and Nonmedical Use of Prescription Opioids Among US Adolescents: 1976-2015. … October 13, 2018
Hospital prescribing of opioids to Medicare beneficiaries.
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psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
November 19, 2018 - Commentary
Opioids for chronic noncancer pain: a position paper of the American Academy … Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. … Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. … February 1, 2023
CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United
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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
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-220-disposition-comments-analgesics-prehospital-setting.pdf
September 03, 2019 - Prioritized comparisons were opioids
vs. ketamine, opioids plus ketamine vs. opioids,
opioids vs. … APAP, opioids vs. nitrous oxide and
opioids vs. … RCT and 12 observational studies to
assess the comparative effectiveness and harms of
opioid vs non-opioid … analgesics administered in
emergency department settings. … Perhaps oral opioid analgesics vs oral
acetaminophen or oral NSAIDs may have a different
comparative
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www.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 - Accurate dosing and
administration of opioids are critical. … Misprogramming IV infusion pumps can result in serious, potentially life
threatening adverse events.20 Opioid … analgesics are associated with a high risk of harm. … Due to the variability of patient response to opioid analgesics, even when
correctly programmed, therapeutic … Dangers of postoperative opioids.
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psnet.ahrq.gov/node/45937/psn-pdf
September 29, 2017 - Prior research has shown that patients often receive opioids following
low-risk procedures, and they … variations in opioid prescribing practices among emergency
departments, with some physicians prescribing opioids … Notably, patients who received opioids from a high-intensity prescriber were
significantly more likely … to continue using opioids 12 months later—indicating a possible connection
between physician prescribing
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psnet.ahrq.gov/node/46720/psn-pdf
January 23, 2019 - Research has found that a significant proportion of adults
prescribed opioids in the short term remain … large, commercial health care
claims database to determine whether children and adolescents prescribed opioids … following surgery were
more likely to be prescribed opioids 3 to 6 months later, compared to children … new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
https://psnet.ahrq.gov/issue/trends-medical-and-nonmedical-use-prescription-opioids-among-us-adolescents
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psnet.ahrq.gov/node/841474/psn-pdf
January 01, 2023 - deaths, the Centers for Disease Control and Prevention (CDC)
released the Guidelines for Prescribing Opioids … factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states … -2016
https://psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states