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Stonington S, Coffa D. N Engl J Med. 2019;380:701-704.
The authors describe how increasing complexity and bureaucracy associated with opioid prescribing led a patient with chronic pain that had been previously well controlled on a stable dose of acetaminophen–hydrocodone for many years to experience job insecurity, withdrawal symptoms, and uncontrolled pain, which ultimately prompted him to seek opioids illegally. The authors refer to this type of harm as "structural iatrogenesis."
Schmajuk G, Yazdany J. Rheumatol Int. 2017;37:1603-1610.
Electronic health records have both safety benefits and unintended consequences. This review discusses safe management of rheumatoid arthritis in the ambulatory setting and highlights the need to capitalize on tools in electronic health records to enhance medication safety for the patients with rheumatoid arthritis.