Acute Pain Management in Hospitalized Adult Patients with Opioid Dependence: A Narrative Review and Guide for Clinicians.


:Pain management is a core competency of hospital medicine, and effective acute pain management should be a goal for all hospital medicine providers. The prevalence of opioid use in the United States, both therapeutic and non-medical in origin, has dramatically increased over the past decade. Although nonopioid medications and nondrug treatments are essential components of managing all acute pain, opioids continue to be the mainstay of treatment for severe acute pain in both opioid-naïve and opioid-dependent patients. In this review, we provide an evidence-based approach to appropriate and safe use of opioid analgesics in treating acute pain in hospitalized patients who are opioid-dependent. Journal of Hospital Medicine 2017;12:375-379.


J Hosp Med


Raub JN,Vettese TE




Has Abstract


2017-05-01 00:00:00












  • Early detection, prevention, and mitigation of critical illness outside intensive care settings.

    abstract::Patients who deteriorate outside the intensive care unit (ICU) are known to have elevated mortality and morbidity. Rapid response teams (RRTs) were developed to address such deterioration. It has not been possible to establish that RRTs employing manual detection methods have definitively improved hospital outcomes. B...

    journal_title:Journal of hospital medicine



    authors: Escobar GJ,Dellinger RP

    更新日期:2016-11-01 00:00:00

  • Use of provider-level dashboards and pay-for-performance in venous thromboembolism prophylaxis.

    abstract:BACKGROUND:Despite safe and cost-effective venous thromboembolism (VTE) prevention measures, VTE prophylaxis rates are often suboptimal. Healthcare reform efforts emphasize transparency through programs to report performance and payment incentives through pay-for-performance programs. OBJECTIVE:To sequentially examine...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Michtalik HJ,Carolan HT,Haut ER,Lau BD,Streiff MB,Finkelstein J,Pronovost PJ,Durkin N,Brotman DJ

    更新日期:2015-03-01 00:00:00

  • ACUTE center for eating disorders.

    abstract:BACKGROUND:While patients with anorexia nervosa have a high mortality rate, more are living into adulthood. Patients with severe malnutrition secondary to anorexia nervosa often require hospitalization for medical stabilization prior to treatment in eating disorders programs. METHODS:We developed the ACUTE Center at D...

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    pub_type: 杂志文章


    authors: Chu ES,Gaudiani JL,Mascolo M,Statland B,Sabel A,Carroll K,Mehler PS

    更新日期:2012-04-01 00:00:00

  • An Advanced Practice Provider Clinical Fellowship as a Pipeline to Staffing a Hospitalist Program.

    abstract:BACKGROUND:Approximately 83% of hospitalist groups around the country utilize advanced practice providers; however, the demand for hospitalists continues to exceed the supply, and this has led to increased utilization of advanced practice providers in hospital medicine. Advanced practice providers receive very limited ...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Lackner C,Eid S,Panek T,Kisuule F

    更新日期:2019-06-01 00:00:00

  • An uncommon etiology of small bowel obstruction: gallstone ileus.

    abstract::Gallstone ileus is a rare etiology of small bowel obstruction, occurring typically in the elderly population. The delay in diagnosis often results in significant morbidity and mortality. Here, we describe a case of 67 year old woman who presented with non specific abdominal symptoms and on evaluation was found to have...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Verma A,Moonat A,Lo A

    更新日期:2010-02-01 00:00:00

  • Hospitalist time usage and cyclicality: opportunities to improve efficiency.

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    pub_type: 杂志文章


    authors: Kim CS,Lovejoy W,Paulsen M,Chang R,Flanders SA

    更新日期:2010-07-01 00:00:00

  • The effect of inpatient stress testing on subsequent emergency department visits, readmissions, and costs.

    abstract:BACKGROUND:Patients with low-risk chest pain are frequently readmitted for evaluation of recurrent chest pain. It is unknown whether stress testing during the first admission for chest pain is a cost-effective means of reducing readmissions. METHODS:Using a hospital administrative database, we conducted a retrospectiv...

    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Mallidi J,Penumetsa S,Friderici JL,Saab F,Rothberg MB

    更新日期:2013-10-01 00:00:00

  • Hospital Medicine Has a Specialty Code. Is the Memo Still in the Mail?

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Flansbaum B,Leykum L,Lapps J

    更新日期:2020-02-01 00:00:00

  • Use of UpToDate and outcomes in US hospitals.

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Isaac T,Zheng J,Jha A

    更新日期:2012-02-01 00:00:00

  • SPEAKers at the National Society of Hospital Medicine Meeting: A Follow-UP Study of Gender Equity for Conference Speakers from 2015 to 2019. The SPEAK UP Study.

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Northcutt N,Papp S,Keniston A,Kara A,Kisuule F,Mandel C,Mathews B,Del Pino-Jones A,Smith D,Vuernick K,Burden M,Society of Hospital Medicine Diversity, Equity and Inclusion Special Interest Group.

    更新日期:2020-04-01 00:00:00

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Fieldston ES,Ragavan M,Jayaraman B,Allebach K,Pati S,Metlay JP

    更新日期:2011-02-01 00:00:00

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Hinami K,Whelan CT,Konetzka RT,Edelson DP,Casalino LP,Meltzer DO

    更新日期:2010-11-01 00:00:00

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    pub_type: 杂志文章


    authors: Siddiqui ZK,Zuccarelli R,Durkin N,Wu AW,Brotman DJ

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Carroll CL,Krieger D,Campbell M,Fisher DG,Comeau LL,Zucker AR

    更新日期:2008-03-01 00:00:00

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    pub_type: 杂志文章,评审


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    更新日期:2016-04-01 00:00:00

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Desai S,Shah SS,Hall M,Richardson TE,Thomson JE,Pediatric Research in Inpatient Settings (PRIS) Network.

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    pub_type: 杂志文章


    authors: Fine DM,Perazella MA

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  • Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study.

    abstract::Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during th...

    journal_title:Journal of hospital medicine

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    authors: Bergl PA,Taylor AC,Klumb J,Quirk K,Muntz MD,Fletcher KE

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  • Frequently Hospitalized Patients' Perceptions of Factors Contributing to High Hospital Use.

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    journal_title:Journal of hospital medicine

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    authors: O'Leary KJ,Chapman MM,Foster S,O'Hara L,Henschen BL,Cameron KA

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  • Improving appropriateness of acid-suppressive medication use via computerized clinical decision support.

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    pub_type: 杂志文章


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  • Hospital Privileging Practices for Bedside Procedures: A Survey of Hospitalist Experts.

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


    authors: Martin LD,Ziegelstein RC,Howell EE,Martire C,Hellmann DB,Hirsch GA

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,meta分析,评审


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    pub_type: 杂志文章


    authors: Chen JH,Fang DZ,Tim Goodnough L,Evans KH,Lee Porter M,Shieh L

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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章


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    journal_title:Journal of hospital medicine

    pub_type: 杂志文章,评审


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    更新日期:2016-08-01 00:00:00

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    pub_type: 杂志文章


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    pub_type: 杂志文章


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