TY - JOUR
T1 - Take-Home Naloxone Program Implementation
T2 - Lessons Learned From Seven Chicago-Area Hospitals
AU - Eswaran, Vidya
AU - Allen, Katherine C.
AU - Bottari, Diana C.
AU - Splawski, Jennifer A.
AU - Bains, Sukheer
AU - Aks, Steven E.
AU - Swoboda, Henry D.
AU - Moore, P. Quincy
AU - Tran, Tran H.
AU - Salisbury-Afshar, Elizabeth
AU - Lank, Patrick M.
AU - McCarthy, Danielle M.
AU - Kim, Howard S.
N1 - Funding Information:
Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org ). This work was supported indirectly by a grant from the Otho S. A. Sprague Memorial Institute and the Illinois Public Health Institute.
Publisher Copyright:
© 2020 American College of Emergency Physicians
PY - 2020/9
Y1 - 2020/9
N2 - 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.
AB - 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.
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U2 - 10.1016/j.annemergmed.2020.02.013
DO - 10.1016/j.annemergmed.2020.02.013
M3 - Article
C2 - 32241746
AN - SCOPUS:85082649931
VL - 76
SP - 318
EP - 327
JO - Journal of the American College of Emergency Physicians
JF - Journal of the American College of Emergency Physicians
SN - 0196-0644
IS - 3
ER -