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Prescription Opioid and Benzodiazepine Medications and Occupational Safety and Health
Acknowledgments
This document was prepared by Sudha P. Pandalai, MD, PhD; Paul A. Schulte, PhD;
and Susan E. Afanuh, National Institute for Occupational Safety and Health.
The authors acknowledge Michele Kowalski-McGraw, MD, MPH, and Judith
Green-McKenzie, MD, MPH, for subject matter input.
Resources
More information about the use of opioids and other prescription drugs can be
found at Kowalski-McGraw M, Green-McKenzie J, Pandalai S, Schulte P [2017].
Characterizing the interrelationships of prescription opioid and benzodiaze-
pine medications with worker health and workplace hazards. J Occup Med
59(11):1114–1126. http://dx.doi.org/10.1097/JOM.0000000000001154
References
CDC [2016a]. CDC guidelines for prescribing opioids for chronic pain: promot-
ing patient care and safety. Atlanta, GA: Department of Health and Human
Services, Centers for Disease Control and Prevention. https://www.cdc.gov/dru-
goverdose/pdf/Guidelines_At-A-Glance-a.pdf
CDC [2016b]. CDC guideline for prescribing opioids for chronic pain—United
States, 2016. By Dowell D, Haegerich TM, Chou R. MMWR Recommendations
and Reports 65(1):1–49. https://doi.org/10.15585/mmwr.rr6501e1er
CDC [2019]. Improve opioid prescribing. Atlanta, GA: Department of Health
and Human Services, Centers for Disease Control and Prevention. https://www.
cdc.gov/drugoverdose/prevention/prescribing.html
Hegmann K, Weiss M, Bowden K, Branco F, DuBrueler K, Els C, Mandel S,
McKinney D, Miguel R, Mueller K, Nadig R, Schaffer M, Studt L, Talmage J, Tra-
vis R, Winters T, Thiese M, Harris J [2014]. ACOEM practice guidelines: opioids
and safety-sensitive work. J Occup Environ Med 56(7):e46–e53. http://dx.doi.
org/10.1097/JOM.0000000000000237
NIOSH [1997]. Elements of ergonomic programs: a primer based on workplace
evaluations of musculoskeletal disorders. By Cohen A, Gjessing C, Fine L,
Bernard B, McGlothlin J. Department of Health and Human Services, Centers for
Disease Control and Prevention, National Institute for Occupational Safety and
Health, DHHS (NIOSH) Publication 97–117. https://www.cdc.gov/niosh/docs/97-
117/pdfs/97-117.pdf?id=10.26616/NIOSHPUB97117
NIOSH [1999]. Stress at work. By Sauter S, Murphy L, Colligan M, Swanson
N, Hurrell J, Scharf F, Sinclair R, Grubb P, Goldenhar L, Alterman T, Johnston J,
Hamilton A, Tisdale J. Cincinnati, OH: U.S. Department of Health and Human
Services, Centers for Disease Control and Prevention, National Institute for Oc-
cupational Safety and Health, DHHS (NIOSH) Publication 99–101. https://www.
cdc.gov/niosh/docs/99-101/pdfs/99-101.pdf?id=10.26616/NIOSHPUB99101