143EMF Adaption and Implementation of Emergency Department Naloxone Distribution in Inpatient and Outpatient Settings

Abstract

This study created and implemented an opioid curriculum for Maricopa Medical Center (MMC) residents and staff as well as improved the cumbersome process for clinicians to provide patient education on opioid use and naloxone prescriptions. Our curriculum addressed current MMC prescriber knowledge about opioids and was made available for dissemination. Resident curriculum employed competitive, trivia-based format with Jeopardy style review and use of Kahoot software to test knowledge application. Staff curriculum was offered as continuing medical education (CME) in cooperation with direct service community organizations and local addiction medicine, toxicology and pain management specialists. CME specifically aimed to address issues of stigma by incorporating education from patients and groups with lived experience. Ongoing data collection included resident and staff completed pre- and post- training surveys regarding their opinions and experiences with patients using or misusing opioids as well as regarding the effectiveness of the training. The primary outcome was the rate of naloxone prescriptions pre- and post- training among resident providers. Lack of prescriber knowledge and confidence in providing patient education on opioid overdose and the prescription of naloxone serve as major barriers in improving services to MMC patients who use and misuse opioids. Development and adaption of emergency department opioid overdose and naloxone distribution programing for inpatient and outpatient prescribers targeted these barriers. Our curriculum aimed to both address prescriber barriers as well as improve quality of patient education and services.