Current practices in naloxone prescribing upon hospital discharge.

MedStar author(s):
Citation: Journal of Opioid Management. 15(5):357-361, 2019 Sep/Oct.PMID: 31849026Institution: MedStar Washington Hospital CenterDepartment: Medicine/Internal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Drug Overdose | *Naloxone | *Patient Discharge | *Practice Patterns, Physicians' | Analgesics, Opioid/tu [Therapeutic Use] | Cross-Sectional Studies | Drug Overdose/pc [Prevention & Control] | Humans | Narcotic AntagonistsYear: 2019ISSN:
  • 1551-7489
Name of journal: Journal of opioid managementAbstract: CONCLUSIONS: Providers agree with the Centers for Disease Control and Prevention recommendations to prescribe naloxone to high-risk patients. Certain barriers affect the rate of naloxone prescribing at discharge, including lack of time, patient education, provider training, and concern for increasing riskier behaviors.DESIGN: Electronic cross-sectional survey.MAIN OUTCOME MEASURES: Respondents completed survey items including current naloxone prescribing practices, barriers to naloxone prescribing, and methods to improve naloxone prescribing.OBJECTIVE: To evaluate current practices in naloxone prescribing upon hospital discharge.PARTICIPANTS: Inpatient physicians and advanced practice providers.RESULTS: The survey response rate was 51.6 percent. Greater than 90 percent of respondents agreed that naloxone should be prescribed for patients with an active opioid use disorder, history of overdose, and use of greater than 50 morphine milligram equivalents per day. Lack of patient education on proper use of naloxone was the most identified barrier to prescribing.SETTING: Academic medical center.All authors: Hall AM, Li X, Oyler DR, Punzal M, Santos PFiscal year: FY2020Digital Object Identifier: Date added to catalog: 2020-01-03
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Journal Article MedStar Authors Catalog Article 31849026 Available 31849026

CONCLUSIONS: Providers agree with the Centers for Disease Control and Prevention recommendations to prescribe naloxone to high-risk patients. Certain barriers affect the rate of naloxone prescribing at discharge, including lack of time, patient education, provider training, and concern for increasing riskier behaviors.

DESIGN: Electronic cross-sectional survey.

MAIN OUTCOME MEASURES: Respondents completed survey items including current naloxone prescribing practices, barriers to naloxone prescribing, and methods to improve naloxone prescribing.

OBJECTIVE: To evaluate current practices in naloxone prescribing upon hospital discharge.

PARTICIPANTS: Inpatient physicians and advanced practice providers.

RESULTS: The survey response rate was 51.6 percent. Greater than 90 percent of respondents agreed that naloxone should be prescribed for patients with an active opioid use disorder, history of overdose, and use of greater than 50 morphine milligram equivalents per day. Lack of patient education on proper use of naloxone was the most identified barrier to prescribing.

SETTING: Academic medical center.

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