Take-Home Naloxone Program Implementation: Lessons Learned From Seven Chicago-Area Hospitals.
Ann Emerg Med
; 76(3): 318-327, 2020 09.
Article
in En
| MEDLINE
| ID: mdl-32241746
ABSTRACT
Despite consensus recommendations from the American College of Emergency Physicians (ACEP), the Centers for Disease Control and Prevention, and the surgeon general to dispense naloxone to discharged ED patients at risk for opioid overdose, there remain numerous logistic, financial, and administrative barriers to implementing "take-home naloxone" programs at individual hospitals. This article describes the recent collective experience of 7 Chicago-area hospitals in implementing take-home naloxone programs. We highlight key barriers, such as hesitancy from hospital administrators, lack of familiarity with relevant rules and regulations in regard to medication dispensing, and inability to secure a supply of naloxone for dispensing. We also highlight common facilitators of success, such as early identification of a "C-suite" champion and the formation of a multidisciplinary team of program leaders. Finally, we provide recommendations that will assist emergency departments planning to implement their own take-home naloxone programs and will inform policymakers of specific needs that may facilitate dissemination of naloxone to the public.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Discharge
/
Emergency Service, Hospital
/
Drug Overdose
/
Health Plan Implementation
/
Naloxone
/
Narcotic Antagonists
/
Opioid-Related Disorders
Type of study:
Clinical_trials
/
Sysrev_observational_studies
Aspects:
Implementation_research
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Ann Emerg Med
Year:
2020
Document type:
Article
Affiliation country:
Israel