Group Visits for Overdose Education and Naloxone Distribution in Primary Care: A Pilot Quality Improvement Initiative
| Autor: | Lucille Burgo-Black, Stephanie L. Peglow, Amy R. Schwartz, William C. Becker, Juliette F Spelman, Katelyn McNamara |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Narcotic Antagonists Population Pilot Projects 01 natural sciences 03 medical and health sciences 0302 clinical medicine Patient satisfaction Patient Education as Topic Naloxone medicine Humans 030212 general & internal medicine 0101 mathematics Medical prescription education education.field_of_study Harm reduction Primary Health Care business.industry 010102 general mathematics Chronic pain Opioid overdose General Medicine medicine.disease Quality Improvement Analgesics Opioid Anesthesiology and Pain Medicine Opioid Patient Satisfaction Emergency medicine Neurology (clinical) Chronic Pain Drug Overdose business medicine.drug |
| Zdroj: | Pain medicine (Malden, Mass.). 18(12) |
| ISSN: | 1526-4637 |
| Popis: | Objective Opioid prescribing for chronic pain significantly contributes to opioid overdose deaths in the United States. Naloxone as a take-home antidote to opioid overdose is underutilized and has not been evaluated in the high-risk chronic pain population. The objective was to increase overdose education and naloxone distribution (OEND) to high-risk patients on long-term opioid therapy for pain by utilizing group visits in primary care. Design Quality improvement intervention among two primary care clinics. Setting A large, academic facility within the Veterans Health Administration. Subjects Patients prescribed ≥100 mg morphine-equivalent daily dose or coprescribed opioids and benzodiazepines. Methods One clinic provided usual care with respect to OEND; another clinic encouraged attendance at an OEND group visit to all of its high-risk patients. Results We used attendance at group visits, prescriptions of naloxone issued, and patient satisfaction scores to evaluate this format of OEND. Key Results Group OEND visits resulted in significantly more naloxone prescriptions than usual care. At these group visits, patients were engaged, valued the experience, and all requested a prescription for the naloxone kit. Conclusion This quality improvement pilot study suggests that OEND group visits are a promising model of care. |
| Databáze: | OpenAIRE |
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