28 min listen
Dishing out opioids in the Emergency Department
FromCoda Change
ratings:
Length:
13 minutes
Released:
Jan 24, 2020
Format:
Podcast episode
Description
The rising death toll from our nation‚ opioid epidemic has been rivalled in modern history only by that at the peak of the AIDS epidemic in the early 1990s. Consider, in 1995 at the peak of the AIDS epidemic, 51,000 Americans died from the disease. In 2015, 52,000 died from drug overdoses. Emergency departments have stood at the front lines of both crises. As a speciality that prides itself on rising to the occasion at times of great need, our time to lead on this crisis is now. As a response, EDs nationwide are expanding their roles in the care of patients with opioid use disorder (OUD), and many have begun ED-MAT programs. In December of 2017, we launched the Get Waivered Campaign which aimed to get our physicians the DEA X waivers needed to be able to prescribe ED-MAT(buprenorphine) to patients coming to our hospital seeking recovery. In May of 2018, our ED instituted its first ED-MAT protocol and while greater than 90% of our attending physicians had their DEA-X waivers and were able to prescribe buprenorphine, we found that there remained an opportunity to increase the rate of MAT initiation in our ED. Through semi-structured interviews, we set out to examine the barriers to providers, use of our MAT initiation protocol and patients‚ willingness to seek help in obtaining OUD treatment in our ED. Our work has identified multiple barriers, affecting both providers and patients, that have limited wide-scale early adoption of our protocol. The barriers identified from our ED-MAT program‚ first year of operation and the interventions aimed at making the use of our ED-MAT protocol as effortless as possible may serve as useful lessons as other hospitals seek to lead by operationalizing their own ED-MAT programs.
Released:
Jan 24, 2020
Format:
Podcast episode
Titles in the series (100)
Reid, Cliff - When Should Resuscitation Stop?: Cliff Reid delivers another moving talk on when we should, and especially when we shouldn't stop when resuscitating. by Coda Change