TY  - JOUR
PY  - 2021//
TI  - Piloting a statewide emergency department take-home naloxone program: improving the quality of care for patients at risk of opioid overdose
JO  - Academic emergency medicine
A1  - Dora-Laskey, Aaron
A1  - Kellenberg, Joan
A1  - Dahlem, Chin Hwa
A1  - English, Elizabeth
A1  - Gonzalez Walker, Monica
A1  - Brummett, Chad M.
A1  - Kocher, Keith E.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Emergency department (ED) patients with non-fatal opioid overdose are at high risk for subsequent fatal overdose, yet ED programs aimed at reducing harm from opioid use remain underdeveloped. <br><br>OBJECTIVES: 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. <br><br>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. <br><br>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 opioid use disorder (MOUD) in acute care settings. <br><br>CONCLUSIONS: A statewide ED take-home naloxone program was shown to be feasible across a range of different hospitals with varying maturity in pre-existing OUD resources and capabilities. Future work will be aimed at both expanding and measuring the effectiveness of this work.<p />  <p>Language: en</p>
LA  - en
SN  - 1069-6563
UR  - http://dx.doi.org/10.1111/acem.14435
ID  - ref1
ER  -