A Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder.

Autor:	Glenn M; Departments of Emergency Medicine and Psychiatry, University of Arizona, Tucson, Arizona., Crowe R; ESO Solutions, Austin, Texas., Dorsett M; Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York., Taigman M; FirstWatch, Carlsbad, California.; Department of Community Health, University of California San Francisco, San Francisco, California., Herring AA; Department of Emergency Medicine, Highland Hospital, Oakland, California., Mercer M; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California., Joiner A; Department of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina., Venkatesh A; Department of Emergency Medicine and Medicine, Yale School of Medicine, New Haven, Connecticut., Davis C; The Network for Public Health Law, Edina, Minnesota., Hawk K; Department of Emergency Medicine and Medicine, Yale School of Medicine, New Haven, Connecticut., Hern HG; Department of Emergency Medicine, Highland Hospital, Oakland, California., Carroll G; Department of Emergency Medicine, Cooper University Healthcare, Camden, New Jersey., Cabañas JG; Wake County EMS, Raleigh, North Carolina.; Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., D'Onofrio G; Department of Emergency Medicine and Medicine, Yale School of Medicine, New Haven, Connecticut., Samuels EA; Department of Emergency Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.
Jazyk:	angličtina
Zdroj:	Prehospital emergency care [Prehosp Emerg Care] 2024 Dec 13, pp. 1-9. Date of Electronic Publication: 2024 Dec 13.
DOI:	10.1080/10903127.2024.2428671
Abstrakt:	Objectives: In response to the escalating overdose crisis there is an urgent need for innovative strategies to reduce overdose death. Emergency Medical Services (EMS) is uniquely poised to reduce mortality and other harms associated with opioid use through prevention, harm reduction, and treatment, yet there is a paucity of nationally recognized best practices or quality measures to guide prehospital quality improvement (QI) efforts related to opioid use disorder (OUD). Methods: A multidisciplinary team of subject matter experts in addiction medicine, EMS, public health, and QI was convened to develop recommendations for a model QI framework for prehospital OUD prevention, harm reduction, and treatment based on the Model for Improvement framework. Results: This article introduces a comprehensive EMS QI framework, aimed at not only addressing acute opioid-related emergencies but also fostering long-term strategies to mitigate mortality and other adverse outcomes among individuals with OUD. Conclusions: Grounded in evidence-based practices and informed by collaborative expertise, this framework represents a pivotal step toward enhancing the effectiveness and responsiveness of EMS in combating the multifaceted challenges posed by OUD.
Databáze:	MEDLINE
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