Increasing Access to Naloxone in Veterans Receiving Opioids Through Community Care.

IF 0.9 Q3 ANESTHESIOLOGY
Kaylee Nichols, Brittany Faley, Lauren Gonser
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Abstract

The United States is battling an opioid overdose epidemic, and Veterans are at almost double the risk compared to the general population. Veterans Health Administration (VHA) recognizes the critical role naloxone plays as a risk mitigation strategy in opioid prescribing; however, there was not a standardized process within the Kansas City VA Medical Center's (KCVAMC) community care program. This quality improvement project included Veterans that received opioids through community care from 2022 to 2023. The Stratification Tool for Opioid Risk Mitigation and chart review were used along with descriptive statistics. Results found 11% (22 of 206) of Veterans were dispensed naloxone within one year prior to receiving their opioid prescription. This data indicated the importance of expanding access to naloxone in Veterans receiving opioids from community care providers. As a result of this data, the KCVAMC implemented an outpatient pharmacy protocol to dispense naloxone to appropriate Veterans that receive an opioid through the community care program. The protocol was initiated on March 29, 2023. From the end of March through 2023, naloxone dispensing for these Veterans increased from 11% to 67%.

增加通过社区护理接受阿片类药物的退伍军人获得纳洛酮的机会。
美国正在与阿片类药物过量流行病作斗争,退伍军人的风险几乎是普通人群的两倍。退伍军人健康管理局(VHA)认识到纳洛酮作为一种降低阿片类药物处方风险的策略所发挥的关键作用;然而,堪萨斯城退伍军人医疗中心(KCVAMC)的社区护理计划中并没有标准化的流程。该质量改进项目包括 2022 年至 2023 年期间通过社区护理接受阿片类药物治疗的退伍军人。该项目使用了 "阿片类药物风险缓解分层工具"(Stratification Tool for Opioid Risk Mitigation)和病历审查以及描述性统计。结果发现,11% 的退伍军人(206 人中有 22 人)在获得阿片类药物处方前一年内获得了纳洛酮。这一数据表明,扩大退伍军人从社区医疗服务提供者处获得纳洛酮的途径非常重要。根据这些数据,KCVAMC 实施了一项门诊药房协议,为通过社区护理计划获得阿片类药物的适当退伍军人配发纳洛酮。该协议于 2023 年 3 月 29 日启动。从 3 月底到 2023 年,为这些退伍军人配发纳洛酮的比例从 11% 增加到 67%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
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