000009233 001__ 9233 000009233 005__ 20240418144114.0 000009233 0247_ $$2DOI$$a10.6083/ff3656156 000009233 037__ $$aIR 000009233 041__ $$aeng 000009233 245__ $$aUsing sociotechnical context to understand the challenges to assess risks and address harms for chronic opioid therapy in the primary care setting: a literature review 000009233 260__ $$bOregon Health and Science University 000009233 269__ $$a2021 000009233 336__ $$aAbstract 000009233 520__ $$aApproximately 2 million Americans live with opioid use disorder (OUD), the majority of whom also have chronic pain. The disorder is associated with considerable morbidity and mortality, with mortality rate ten times higher than that of the average population. Prescription opioids are involved in approximately 30% of the death from drug overdose, contributing significantly to the nation's opioid crisis. There is a need to understand the complexity of risk assessment and harm reduction tasks and the interplays between data, information systems, and people to improve the design and development of interventions that enhance guideline adoption and patient outcomes. 000009233 540__ $$fCC BY 000009233 542__ $$fIn copyright - joint owners 000009233 650__ $$aPrescription Drug Monitoring Programs$$012247 000009233 650__ $$aPrimary Health Care$$024590 000009233 650__ $$aChronic Pain$$039552 000009233 650__ $$aPrescriptions$$038416 000009233 650__ $$aRisk Assessment$$030914 000009233 650__ $$aHarm Reduction$$035025 000009233 650__ $$aOpioid-Related Disorders$$022689 000009233 650__ $$aSubstance-Related Disorders$$032029 000009233 650__ $$aOpiate Overdose$$013377 000009233 650__ $$aPain Management$$039572 000009233 6531_ $$aopioids 000009233 691__ $$aSchool of Medicine$$041369 000009233 7001_ $$aMishra, Meenakshi$$uOregon Health and Science University$$041354 000009233 7001_ $$aWeiskopf, Nicole$$uOregon Health and Science University$$041354 000009233 711__ $$aResearch Week$$uOregon Health and Science University$$d2021 000009233 8564_ $$917826970-0fab-4a4f-9709-732dac442cb6$$s343997$$uhttps://digitalcollections.ohsu.edu/record/9233/files/Mishra-Meenakshi-OHSU-ResearchWeek-2021.pdf 000009233 905__ $$a/rest/prod/ff/36/56/15/ff3656156 000009233 980__ $$aResearch Week