Rhode Island's opioid overdose hospital standards and emergency department naloxone distribution, behavioral counseling, and referral to treatment
Annals of Emergency Medicine Apr 17, 2021
Samuels EA, Wentz A, McCormick M, et al. - Researchers investigated how the Levels of Care for Rhode Island Emergency Departments and Hospitals for Treating Overdose and Opioid Use Disorder (Levels of Care) have affected emergency department (ED) provision of take-home naloxone, behavioral counseling, and referral to treatment. Using data from a statewide opioid overdose surveillance system, they conducted a retrospective analysis of Rhode Island ED visits for opioid overdose from 2017 to 2018. A total of 245 overdose visits prior to Levels of Care implementation (January to March 2017) and 1,340 overdose visits after implementation (hospital certification to December 2018) were analyzed. After implementation, there has been an increase in the proportion of patients offered naloxone on average by 13%. Per findings, the establishment of ED policies for treatment and services after opioid overdose resulted in improvement in naloxone distribution, behavioral counseling, and referral to treatment at hospitals with no previously established opioid overdose services.
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