Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

Chelsea Canan; Jennifer M Polinski; Caleb Alexander; Mary K Kowal; Troyen A Brennan; William H Shrank

Review

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

November 8, 2017

Canan C, Polinski JM, Alexander C, et al. J Am Med Inform Assoc. 2017;24(6):1204-1210.

View more articles from the same authors.

Safer opioid prescribing requires that providers and systems are able to identify patients who misuse or divert opioids. This systematic review assessed different automated algorithms to detect population-level nonmedical opioid use. The authors suggest that algorithms that integrate claims data with natural language processing or other advanced informatics techniques yield the best results.

PubMed citation

Available at

Related Resources From the Same Author(s)

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs.

July 27, 2016

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge.

November 2, 2016

The Institute of Medicine report on medical errors—could it do harm?

March 27, 2005

The role of medical liability reform in federal health care reform.

July 1, 2009

No-fault compensation for medical injuries: the prospect for error prevention.

March 6, 2005

Patient safety and medical malpractice: a case study.

March 6, 2005

Preventing medical injury.

March 27, 2005

Advising patients about patient safety: current initiatives risk shifting responsibility.

September 7, 2005

Medical monitoring for pharmaceutical injuries: tort law for the public's health?

March 6, 2005

Fostering rational regulation of patient safety.

July 20, 2005

A middle ground on public accountability.

March 6, 2005

The incorporation of patient safety into board certification examinations.

April 12, 2006

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

April 27, 2005

Beyond negligence: avoidability and medical injury compensation.

October 31, 2007

"Health courts" and accountability for patient safety.

September 13, 2006

Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.

September 6, 2006

Ensuring access to medications in the US during the COVID-19 pandemic.

May 6, 2020

Accidental deaths, saved lives, and improved quality.

October 5, 2005

Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.

June 8, 2005

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

April 18, 2007

Variability in pharmacy interpretations of physician prescriptions.

March 4, 2009

Primary medication non-adherence: analysis of 195,930 electronic prescriptions.

February 17, 2010

Communication factors in the follow-up of abnormal mammograms.

March 6, 2005

Analysis of surgical errors in closed malpractice claims at 4 liability insurers.

August 16, 2006

Disclosure of medical injury to patients: an improbable risk management strategy.

January 24, 2007

Risk factors for retained instruments and sponges after surgery.

March 6, 2005

The variability and quality of medication container labels.

September 19, 2007

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.

February 6, 2008

Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.

May 4, 2016

The role of surgeon error in withdrawal of postoperative life support.

September 26, 2012

To err is human: patient misinterpretations of prescription drug label instructions.

November 7, 2007

The role of physician specialty board certification status in the quality movement.

March 6, 2005

Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal immediate-release fentanyl products.

March 6, 2019

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

October 11, 2006

Helping patients simplify and safely use complex prescription regimens.

March 16, 2011

Prescription opioid analgesics commonly unused after surgery: a systematic review.

August 9, 2017

Surgeon-reported conflict with intensivists about postoperative goals of care.

March 27, 2013

A patient-centered prescription drug label to promote appropriate medication use and adherence.

January 18, 2017

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

October 11, 2006

Claims, errors, and compensation payments in medical malpractice litigation.

May 17, 2006

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.

March 27, 2005

Association of household opioid availability and prescription opioid initiation among household members.

January 10, 2018

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting.

January 27, 2016

Incidence and types of preventable adverse events in elderly patients: population based review of medical records.

March 27, 2005

Human factors—recognising and minimising errors in our day to day practice.

February 10, 2016

Recalls and safety alerts affecting automated external defibrillators.

August 23, 2006

Allowing failure for educational purposes in postgraduate clinical training: a narrative review.

July 24, 2019

Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients.

May 30, 2018

Do leadership style, unit climate, and safety climate contribute to safe medication practices?

March 29, 2017

Determinants of adverse events in hospitals—the potential role of patient safety culture.

February 27, 2008

Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century.

August 23, 2023

Empowering patient safety outreach through interprofessional partnerships: educating our communities.

August 25, 2010

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

January 27, 2010

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.

April 19, 2017

Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.

February 23, 2022

Safety culture as a patient safety practice for alarm fatigue.

October 13, 2021

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Good people who try their best can have problems: recognition of human factors and how to minimise error.

January 27, 2016

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.

November 20, 2019

A systematic review of simulation for multidisciplinary team training in operating rooms.

February 13, 2013

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.

February 8, 2023

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

Situational awareness—what it means for clinicians, its recognition and importance in patient safety.

August 24, 2016

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi.

September 13, 2006

Reducing accidental extubation in neonates.

March 5, 2008

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study.

January 23, 2013

High rates of adverse drug events in a highly computerized hospital.

May 25, 2005

A professional development course improves unprofessional physician behavior.

February 12, 2020

A multidisciplinary approach to reduce central line-associated bloodstream infections.

February 6, 2013

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.

May 3, 2023

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.

October 9, 2019

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

The economic consequences of medical injuries: implications for a no-fault insurance plan.

March 6, 2005

Crew resource management improved perception of patient safety in the operating room.

January 6, 2010

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.

June 10, 2020

Increasing demands for quality measurement.

November 27, 2013

Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2).

September 18, 2013

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.

July 20, 2022

Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety.

February 24, 2021

Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use?

January 11, 2012

Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum.

June 28, 2023

Patient misidentification in the neonatal intensive care unit: quantification of risk.

January 18, 2006

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.

October 19, 2016

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.

May 23, 2018

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.

December 7, 2016

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.

August 4, 2021

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture.

May 15, 2013

The relationships among clinician delay of diagnosis of breast cancer and tumor size, nodal status, and stage.

November 22, 2006

The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.

March 27, 2005

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Interview

In Conversation with Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Using automated methods to detect safety problems with health information technology: a scoping review.

February 8, 2023

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

December 7, 2022

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.

September 7, 2022

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

June 22, 2022

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

A report of information technology and health deficiencies in U.S. nursing homes.

September 8, 2021

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Safe opioid prescribing: a prognostic machine learning approach to predicting 30-day risk after an opioid dispensation in Alberta, Canada.

June 16, 2021

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

The potential of artificial intelligence to improve patient safety: a scoping review.

March 31, 2021

Transitions from one electronic health record to another: challenges, pitfalls, and recommendations.

December 16, 2020

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Role of artificial intelligence in patient safety outcomes: systematic literature review.

August 26, 2020

WebM&M Cases

The Need to Eat

December 18, 2019

WebM&M Cases

A Mistaken Dose of Naloxone 

December 18, 2019

Controversies in diagnosis: contemporary debates in the diagnostic safety literature.

July 17, 2019

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review.

June 19, 2019

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level.

May 29, 2019

Governing the safety of artificial intelligence in healthcare.

May 8, 2019

Transfusion safety: the nature and outcomes of errors in patient registration.

February 20, 2019

The impact of technology on safe medicines use and pharmacy practice in the US.

January 30, 2019

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.

September 5, 2018

See More About The Topic

Hospitals

Facility and Group Administrators

Information Professionals

Medicine

Opiates/Narcotics

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site