Improving Opioid Use Disorder Treatment With Buprenorphine: A Quality Improvement Project

Lemuel Scott, Consuelo Williams, Charles Browning, Gloria McNeil, Sean Convoy
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Abstract

The intervention described here effectively changed prescriber behavior, increasing the use of evidence-based treatments for opioid withdrawal with minimal adverse events. Standardized protocols led to increased buprenorphine utilization, impacting clinical practice. However, there was no observed improvement in linkage to outpatient MAT services, possibly because of external factors such as insurance limitations and patient preferences. Our findings support the effectiveness of standardized protocols in increasing buprenorphine utilization. Thakrar et al1 similarly observed improved buprenorphine initiation rates after implementing protocols in an emergency department.
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用丁丙诺啡改善阿片类药物使用障碍的治疗:质量改进项目
本文所述的干预措施有效地改变了处方者的行为,增加了阿片类药物戒断循证疗法的使用,并将不良反应降至最低。标准化方案提高了丁丙诺啡的使用率,对临床实践产生了影响。然而,在与门诊 MAT 服务的联系方面没有观察到改善,这可能是由于保险限制和患者偏好等外部因素造成的。我们的研究结果支持标准化方案在提高丁丙诺啡使用率方面的有效性。Thakrar 等人1 同样观察到,在急诊科实施协议后,丁丙诺啡的使用率有所提高。
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