WHAT: Concise, relevant, and practical clinical education for the management of OUD in the ED
WHO: By emergency care providers, for emergency care providers
HOW: A 6-part, interactive, and case-based webinar series with recommended preparatory online material
WEBINARS
Description: We will review five key clinical skills to integrate into your ED practice to enhance care for patients with opioid use disorder.
- Watch the recording here: "Just the Nuggets"
- Access the slide deck here.
- Preparatory and summary online lecture materials here.
Description: In part 2, we will review the management of precipitated withdrawal, emerging approaches to starting buprenorphine/naloxone and micro-inductions. CME accredited.
- Watch the recording here: "Buprenorphine/naloxone in the ED "
- Access the slide deck here.
- Preparatory and summary online lecture materials here.
Description: In part 3, we look to shift the focus to the deeper roots of disproportionate toxic drug crisis impacting First Nations People. CME accredited.
- Watch the recording here: "Not Just Naloxone, Advancing a First Nations Perspective "
- Preparatory and summary online lecture materials here.
Description: In our fourth webinar, we will discuss how to improve ED interactions and outcomes for people who use substances.
- Watch the recording here: "Creating Safer Care Experiences "
- Access the slide deck here.
- Preparatory and summary online lecture materials here.
Description: In our fifth webinar, we will discuss the management of opioid withdrawal, review an approach to pain management in patients with OUD and discuss common scenarios that pose challenges to these types of cases.
- Access the slide deck and additional online lecture materials here.
Description: In our sixth webinar, we will review approaches to dosing OAT in the ED. highlight common side effects and interactions, and review emerging therapies and how they may impact ED care.
- Access the slide deck and additional online lecture materials here.
WHY: As part of the LOUD in the ED collaborative, this education series was developed based on evaluation results that demonstrated a need for short and interactive webinars that could highlight some of the foundations to OUD care in the ED setting. For more information, please read below.
The Learning about Opioid Use Disorder (LOUD) in the Emergency Department (ED) quality improvement initiative was a provincial initiative led in partnership between the BC Patient Safety & Quality Council (the Council), BC Centre on Substance Use (BCCSU) and Overdose Emergency Response Centre (OERC) with EDs across BC. This quality improvement initiative aimed to shift how EDs care for individuals with opioid use disorder.
In the context of dual public health emergencies, this initiative launched as a virtual action series to support evidence-based quality care in EDs. The action series focused on four main drivers: recommended clinical decision support tools, clinical education and strategies, people- and provider-centred care, and the connection continuum. The objective and aligned metrics from LOUD in the ED are summarized below.
OBJECTIVE: To improve the experience of Opioid Use Disorder (OUD) care for people and providers. This included reducing the morbidity and mortality for people with OUD in the ED by improving access to evidence-informed care, particularly buprenorphine-naloxone (Suboxone®).
24 participating ED teams consisting of physicians, nurses, and other health professions.
141 clinicians completed the Provincial Opioid Addiction Treatment Program (POATSP).
84 providers completed the Provincial Health Services Authority’s Buprenorphine/Naloxone (Suboxone) Training.
28% increase among final survey respondents in prescribing buprenorphine/naloxone to patients in EDs.
90% of final survey respondents greatly or somewhat improved their confidence in providing OUD care in their EDs.