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Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose.
Dora-Laskey, Aaron; Kellenberg, Joan; Dahlem, Chin Hwa; English, Elizabeth; Gonzalez Walker, Monica; Brummett, Chad M; Kocher, Keith E.
  • Dora-Laskey A; Department of Emergency Medicine, Michigan State University College of Human Medicine, East Lansing, Michigan, USA.
  • Kellenberg J; Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • Dahlem CH; Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
  • English E; Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • Gonzalez Walker M; Department of Transplant Surgery, University of Michigan, Ann Arbor, Michigan, USA.
  • Brummett CM; Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan, USA.
  • Kocher KE; Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Acad Emerg Med ; 29(4): 442-455, 2022 04.
Article in English | MEDLINE | ID: covidwho-1592925
ABSTRACT

BACKGROUND:

Emergency department (ED) patients with nonfatal opioid overdose are at high risk for subsequent fatal overdose, yet ED programs aimed at reducing harm from opioid use remain underdeveloped.

OBJECTIVES:

The objective was to pilot a statewide ED take-home naloxone program and improve the care of patients with opioid use disorder (OUD) and risky drug use through training and interprofessional network building.

METHODS:

Nine hospital EDs with pharmacy, nurse, and physician champions were recruited, surveyed, and trained. Take-home naloxone rescue kits were developed, disseminated, and tracked. Two overdose prevention summits were convened prior to the COVID pandemic, and two X-waiver training courses aimed at emergency physicians and advanced practice providers were arranged, both in person and virtual.

RESULTS:

A total of 872 naloxone rescue kits were distributed to ED patients at risk of opioid overdose during the first phase of this project, and more than 140 providers were trained in the use of medications for OUD in acute care settings.

CONCLUSIONS:

A statewide ED take-home naloxone program was shown to be feasible across a range of different hospitals with varying maturity in preexisting OUD resources and capabilities. Future work will be aimed at both expanding and measuring the effectiveness of this work.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Drug Overdose / Opiate Overdose / COVID-19 / Opioid-Related Disorders Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Acad Emerg Med Journal subject: Emergency Medicine Year: 2022 Document Type: Article Affiliation country: Acem.14435

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Drug Overdose / Opiate Overdose / COVID-19 / Opioid-Related Disorders Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Acad Emerg Med Journal subject: Emergency Medicine Year: 2022 Document Type: Article Affiliation country: Acem.14435