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Michigan OPEN

Publications (Old)

OPEN examines data, clinical practices and strategies to support better pain management, opioid stewardship, policy, treatment and care.

Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose

Dora-Laskey A, Kellenberg J, Dahlem CH, English E, Gonzalez Walker M, Brummett CM, Kocher KE. Piloting a statewide emergency department take-home naloxone program: Improving the quality of care for patients at risk of opioid overdose. Acad Emerg Med. 2022 Apr;29(4):442-455. doi: 10.1111/acem.14435. Epub 2022 Jan 28. PMID: 34962682.
  • Total of 2400 naloxone kits were assembled and shipped to 9 hospitals in Michigan. By February 2021, 872 kits were distributed to ED patients 
  • Sites dispensed an average of 1.05 kits per month per 1000 ED visits 
  • 140 providers were trained in use of medications for OUD acute care settings

Association of Opioid Overdose Risk Factors and Naloxone Prescribing in US Adults

Lin LA, Brummett CM, Waljee JF, Englesbe MJ, Gunaseelan V, Bohnert ASB. Association of Opioid Overdose Risk Factors and Naloxone Prescribing in US Adults. J Gen Intern Med. 2020;35(2):420-427. doi:10.1007/s11606-019-05423-7
  • Among those who filled naloxone, 94% were patients who had received an opioid during the study period  
  • < 2% of patients in overdose risk factor groups filled naloxone
  • Despite increases in naloxone prescribing, the prevalence of naloxone fills by patients at high risk of overdose remains minimal