Document Detail

Group Health's initiative to avert opioid misuse and overdose among patients with chronic noncancer pain.
MedLine Citation:
PMID:  21821559     Owner:  NLM     Status:  MEDLINE    
Increased opioid prescribing for chronic pain that is not due to cancer has been accompanied by large increases in abuse and overdose of prescription opioids. This paper describes how Group Health, a Seattle-based nonprofit health care system, implemented a major initiative to make opioid prescribing safer. In the initiative's first nine months, clinicians developed documented care plans for almost 6,000 patients receiving long-term opioid therapy for chronic pain. Evaluation of the initiative's effects on care processes and trends in adverse events is under way.
Claire E Trescott; Randi M Beck; Michelle D Seelig; Michael R Von Korff
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  30     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-08     Completed Date:  2011-12-21     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1420-4     Citation Subset:  IM    
Group Health, Seattle, Washington, USA.
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MeSH Terms
Analgesics, Opioid / administration & dosage*,  adverse effects
Chronic Pain / drug therapy*
Delivery of Health Care
Drug Overdose / prevention & control*
Drug Prescriptions
Hospitals, Voluntary
Opioid-Related Disorders / prevention & control*
Organizational Case Studies
Grant Support
R01 AG034181/AG/NIA NIH HHS; R01 AG034181/AG/NIA NIH HHS; R01 AG034181-02/AG/NIA NIH HHS; R01 DA022557/DA/NIDA NIH HHS; R01 DA022557/DA/NIDA NIH HHS; R01 DA022557-04/DA/NIDA NIH HHS
Reg. No./Substance:
0/Analgesics, Opioid
Comment In:
Health Aff (Millwood). 2011 Nov;30(11):2216; author reply 2216   [PMID:  22068414 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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