Current practices in naloxone prescribing upon hospital discharge. - 2019

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.


English

1551-7489

10.5055/jom.2019.0524 [doi] jom.2019.0524 [pii]


*Drug Overdose
*Naloxone
*Patient Discharge
*Practice Patterns, Physicians'
Analgesics, Opioid/tu [Therapeutic Use]
Cross-Sectional Studies
Drug Overdose/pc [Prevention & Control]
Humans
Narcotic Antagonists


MedStar Washington Hospital Center


Medicine/Internal Medicine


Journal Article