Implementation of a multidisciplinary inpatient opioid overdose education and naloxone distribution program at a large academic medical center.

Autor: Nguyen TT; Department of Pharmacy, The Massachusetts General Hospital, Boston, MA.; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA., Applewhite D; Division of General Internal Medicine, The Massachusetts General Hospital, Boston, MA.; Department of Medicine, Harvard Medical School, Boston, MA, USA., Cheung F; Department of Pharmacy, The Massachusetts General Hospital, Boston, MA.; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA., Jacob S; Department of Pharmacy, The Massachusetts General Hospital, Boston, MA.; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA., Mitchell E; Department of Pharmacy, The Massachusetts General Hospital, Boston, MA.; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.
Jazyk: angličtina
Zdroj: American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists [Am J Health Syst Pharm] 2022 Dec 05; Vol. 79 (24), pp. 2253-2260.
DOI: 10.1093/ajhp/zxac252
Abstrakt: Purpose: Opioid overdose-related deaths continue to rise. Despite public health efforts, there is still variability in obtainment of naloxone, a lifesaving antidote. We share our experience in the implementation of a novel opioid overdose education and naloxone distribution (OEND) program at a large academic medical center.
Methods: Collaborative efforts made by pharmacists, pharmacy students, physicians, nurses, and recovery coaches were employed in the design of the program. The service was available Monday through Friday, 9 am to 6 pm, and primarily carried out by pharmacy students on a rotating basis. Services offered included bedside delivery of naloxone and education prior to the day of discharge. In preparation for their role, the pharmacy students were required to complete a series of trainings and competency assessments.
Results: A total of 40 patients were included in the program evaluation. Of the completed consults 96.7% (n = 30) of patients received both counseling and naloxone delivery. Eighty percent of patients had a history of nonfatal opioid overdose, but only 37.5% had naloxone listed as a home medication. OEND services were provided to 66% of individuals with patient-directed discharges.
Conclusion: Implementation of an inpatient OEND program by mobilizing trained student pharmacists is feasible and expands naloxone access to patients during transitions of care. A similar model could be considered in the future for the delivery of harm reduction supplies to this patient population.
(© American Society of Health-System Pharmacists 2022. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze: MEDLINE
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