• J. Occup. Environ. Med. · Jul 2014

    Practice Guideline

    ACOEM practice guidelines: opioids and safety-sensitive work.

    • Kurt T Hegmann, Michael S Weiss, Kirk Bowden, Fernando Branco, Kimberly DuBrueler, Charl Els, Steven Mandel, David W McKinney, Rafael Miguel, Kathryn L Mueller, Robert J Nadig, Michael I Schaffer, Larry Studt, James B Talmage, Russell L Travis, Thomas Winters, Matthew S Thiese, and Jeffrey S Harris.
    • J. Occup. Environ. Med. 2014 Jul 1; 56 (7): e46-53.

    ObjectiveACOEM has updated the treatment guidelines concerning opioids. This report highlights the safety-sensitive work recommendation that has been developed.MethodsComprehensive literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel to develop evidence-based guidance. A total of 12 moderate-quality studies were identified to address motor vehicle crash risk, and none regarding other work among opioid-using patients.ResultsAcute or chronic opioid use is not recommended for patients who perform safety-sensitive jobs. These jobs include operating motor vehicles, other modes of transportation, forklift driving, overhead crane operation, heavy equipment operation and tasks involving high levels of cognitive function and judgment.ConclusionQuality evidence consistently demonstrates increased risk of vehicle crashes and is recommended as the surrogate for other safety-sensitive work tasks.

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