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 overdoseDora-Laskey, A., Kellenberg, J., Dahlem, C.H., English, E., Walker, M. G., Brummett, C.M., Kocher, K.E. Published online 28 December, 2021 https://doi.org/10.1111/acem.14435
- More than 140 providers were trained in the use of medications for OUD in acute care settings.
- A total of 872 naloxone rescue kits were distributed to ED patients at risk of opioid overdose during the first phase of this project.
- 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.
- While there is a growing prevalence of naloxone fills among insured U.S. adults receiving opioids, overall prevalence of naloxone prescribing remains extremely low.
- Key factors associated with opioid overdose risk were also associated with receiving naloxone. However, history of overdose was not associated with filling of a naloxone prescription.
- Substantial further work is needed to increase naloxone access for patients at risk for opioid overdose.