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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
June 01, 2003 - Abdominal Pain in the ED
Most common chief complaint in the ED
6% of the 100 million yearly ED visits … Appendicitis is the most common surgical cause of abdominal pain
7% of population affected over a … lifetime
Small percentage of abdominal pain is due to appendicitis
1%-3% of ED visits for abdominal … pain are appendicitis
McCaig LF, et al. … Patient told to take naproxen for pain.
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psnet.ahrq.gov/node/40942/psn-pdf
November 23, 2011 - Vital signs: overdoses of prescription opioid pain
relievers- United States, 1999-2008. … Vital signs: overdoses of prescription opioid pain relievers---United States, 1999--
2008. … https://psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999 … https://psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999 … -2008
https://psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
February 14, 2024 - Despite the advent of combination vaccines, children experience pain and parents fear adverse effects … We do not know whether the impact of pain was discussed, either preceding immunizations or as another … Pain Pract. 2018;18:123-129. [go to PubMed] 7. Berberich FR, Schechter NL. … Inadequate pain management during childhood immunizations: the nerve of it. … Reducing pain during vaccine injections: clinical practice guideline. CMAJ. 2015;187:975-982.
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Over the next 2 hours, the patient's pain worsened and she became increasingly somnolent. … The most common is pain. … Pain may occur locally at the skin incision site, but the most common and concerning type of pain is … The most common complication after liver biopsy is pain. … Severe abdominal pain should increase the concern for a significant bleeding complication.
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - Three days later, he presented to the emergency department (ED) with worsened headache and neck pain … Reliance on the “classic triad” of fever, spine pain, and neurologic deficit likely contributed
to … Background
Neck and back pain are common chief complaints and together these conditions account for … It is therefore critical to
consider SEA for any patient with neck or back pain. … The presence of fever in any patient with neck or back pain should raise suspicion for SEA.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - The patient called the surgeon’s office multiple times, asking for more or different
pain medications … The
patient continued to report pain, swelling, and redness, noted that her wrist began to ooze at the … The MA claimed
that the patient never mentioned redness or pain after the sutures were removed, and … Review postoperative expectations with the patient about pain and pain management, dressing and
wound … Offer pain management with
limited use of opioids.
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - She was told to return for persistent
vomiting, pain, or new fever. … the absence of right lower quadrant pain,
guarding, or fever. … Gastroenteritis may
cause crampy, intermittent pain, or may result in muscular pain from vomiting, but … should not cause
significant continuous pain. … The patient was sent home, with instructions to take
naproxen for the pain.
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psnet.ahrq.gov/issue/retrievals
August 16, 2023 - This series describes how diversion contributed to unnecessary pain in fertility clinic patients. … The problem was compounded by a lack of attention to women voicing their concerns about procedural pain
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psnet.ahrq.gov/node/44559/psn-pdf
April 15, 2016 - Diagnostic errors related to acute abdominal pain in the
emergency department. … Diagnostic errors related to acute abdominal pain in the
emergency department. … https://psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
This … study included chart reviews of adult patients who presented to an emergency
department with abdominal pain … https://psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
https
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psnet.ahrq.gov/node/45656/psn-pdf
August 01, 2017 - Prescription of long-acting opioids and mortality in
patients with chronic noncancer pain. … Prescription of Long-Acting Opioids and Mortality in Patients With
Chronic Noncancer Pain. … https://psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain … retrospective study,
researchers found that the use of long-acting opioids in patients with chronic noncancer pain … https://psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
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psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
January 27, 2019 - More patients were prescribed nonopioid pain medications after guideline implementation than before. … April 18, 2019
Postoperative opioid prescribing and the pain scores on Hospital Consumer … Resources
Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain … unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - the first hospital day, the patient continued to have difficulty with maximal inspiration because of pain … The patient required an additional paravertebral block on the correct (right) side to control the pain … Barrington, MBBS, PhD Department of Anaesthesia and Acute Pain Medicine St. … Reg Anesth Pain Med. 2014;39:487-495. [go to PubMed] 6. Neily J, Mills PD, Eldridge N, et al. … Reg Anesth Pain Med. 2014;39:195-199.
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - The Case A 42-year-old woman presented to the emergency department with abdominal pain. … She said the pain came on suddenly that morning after binge-drinking vodka. … The pain was in the epigastrium, radiated around to her back, and was accompanied by nausea and vomiting … admitted to the hospital and given intravenous fluids and intravenous hydromorphone (Dilaudid) for pain … The next morning, the patient was still experiencing moderately severe abdominal pain.
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - • Explain how the differential diagnosis and work-up of acute abdominal
pain differs between people … of two children saw her primary care
physician (PCP) for recurrent bouts of post-prandial abdominal pain … described as “pain out of proportion to exam” with an abdominal bruit on
auscultation, although this … • With post-prandial abdominal pain, it is important to consider a pancreatic or
biliary etiology … dietary
changes, and recurrent episodic postprandial pain
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psnet.ahrq.gov/node/46779/psn-pdf
March 14, 2018 - impact-pharmacist-previsit-input-providers-chronic-opioid-prescribing-safety
In this pilot study, a clinical pharmacist reviewed charts for adult patients with chronic pain … The intervention led to a 14% decrease in morphine milligram
equivalents per day without a change in pain … promising-roles-pharmacists-addressing-us-opioid-crisis
https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies … https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https … ://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing. … Opioids for pain management in older adults. Nurse Pract. 2017;42(2). … https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use of … opioids for pain management in older adults can contribute to various problems, including fall-
related … https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
https:/
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - of two children saw her primary care physician (PCP) for recurrent bouts of
post-prandial abdominal pain … The patient's pain continued, sometimes leaving her writhing on the floor, and was unrelieved by opioids … In patients with acute abdominal pain, it is important to assess for atherosclerotic
risk factors and … With
post-prandial abdominal pain, it is important to consider a pancreatic or biliary etiology such … dietary
changes, and recurrent episodic postprandial pain.
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - development, implementation, and sustainment of a toolkit for safer opioid prescribing for chronic pain … 2022
Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain … Development of prescribing indicators related to opioid-related harm in patients with chronic pain
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psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers
September 09, 2020 - implementation of a multifaceted effort to reduce opioid prescribing and standardize postoperative pain … View More
Related Resources
Addressing bias in acute postoperative pain … 2023
Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain
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psnet.ahrq.gov/node/47382/psn-pdf
August 29, 2018 - Parenteral opioid shortage—treating pain during the
opioid-overdose epidemic. … Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. … https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic … https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic … injectable-opioid-shortages-suggestions-management-and-conservation
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors