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Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
The overprescribing of prescription opioids heightens the likelihood of opioid dependence and harm. This report shares data from 25 countries to provide a baseline for the current crisis. The publication illustrates the complexity of the opioid epidemic and suggests that system-focused multisector strategies are required to address the problem.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.
Web Resource > Multi-use Website
Australian National Health and Medical Research Council.
Overdiagnosis and the subsequent overuse of medical care contributes to unnecessary financial, psychological, and physical risk to patients. This research collaborative draws from expertise and experience from organizations in Australia investigating the problem of overdiagnosis and testing solutions to prevent medical care overuse.
Journal Article > Commentary
Hoffman J, Kanzaria H. BMJ. 2014;349:g5702.
Lack of acceptance for human error and uncertainty have been known to contribute to overdiagnosis and overuse that may result in patient harm. This commentary explains why medical liability reform alone is not sufficient to address this issue. The authors suggest that both professionals and patients will need to adjust their expectations of failures in order to achieve behavior change.
Tools/Toolkit > Measurement Tool/Indicator
AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; September 2005.
The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data. The Inpatient Quality Indicators include inpatient mortality for certain procedures and medical conditions; utilization of procedures for which there are questions of underuse, overuse, and misuse; and volume of procedures for which evidence suggests that a higher volume is associated with lower mortality.