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Models for Implementing Emergency Department–Initiated Buprenorphine With Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Centers by Lauren K. Whiteside; Gail D’Onofrio; David A. Fiellin; E. Jennifer Edelman; Lynne Richardson; Patrick O’Connor; Richard E. Rothman; Ethan Cowan; Michael S. Lyons; Callan E. Fockele; Mustapha Saheed; Caroline Freiermuth; Brittany E. Punches; Clara Guo; Shara Martel; Patricia H. Owens; Edouard Coupet; Kathryn F. Hawk is a Medicine article available to read on EtoBox.

What is Models for Implementing Emergency Department–Initiated Buprenorphine With Referral for Ongoing Medication Treatment at Emergency Department Discharge in Diverse Academic Centers about?

There has been a substantial rise in the number of publications and training opportunities on the care and treatment of emergency department (ED) patients with opioid use disorder over the past several years. The American College of Emergency Physicians recently published recommendations for providing buprenorphine to patients with opioid use disorder, but barriers to implementing this clinical practice remain. We describe the models for implementing ED-initiated buprenorphine at 4 diverse urban, academic medical centers across the country as part of a federally funded effort termed “Project ED Health.” These 4 sites successfully implemented unique ED-initiated buprenorphine programs as part of a comparison of implementation facilitation to traditional educational dissemination on the uptake of ED-initiated buprenorphine. Each site describes the elements central to the ED process, including screening, treatment initiation, referral, and follow-up, while harnessing organizational characteristics, including ED culture. Finally, we discuss common facilitators to program success, including information technology and electronic medical record integration, hospital-level support, strong

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Author

Lauren K. Whiteside; Gail D’Onofrio; David A. Fiellin; E. Jennifer Edelman; Lynne Richardson; Patrick O’Connor; Richard E. Rothman; Ethan Cowan; Michael S. Lyons; Callan E. Fockele; Mustapha Saheed; Caroline Freiermuth; Brittany E. Punches; Clara Guo; Shara Martel; Patricia H. Owens; Edouard Coupet; Kathryn F. Hawk

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)