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COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety

The United States faces an opioid crisis with an unprecedented and increasing death rate from opioid overdose. Successfully reducing the rates of opioid use disorder (OUD) and overdose will require the engagement of frontline clinicians to prescribe opioids more safely and to build their capacity to...

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Autores principales: Morgan, Anna R, Hendricks, Michelle A, El Ibrahimi, Sanae, Hallvik, Sara E, Hatch, Brigit, Dickinson, Caitlin, Wright, Dagan, Fischer, Michael A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioExcel Publishing Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687093/
https://www.ncbi.nlm.nih.gov/pubmed/34970321
http://dx.doi.org/10.7573/dic.2021-7-5
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author Morgan, Anna R
Hendricks, Michelle A
El Ibrahimi, Sanae
Hallvik, Sara E
Hatch, Brigit
Dickinson, Caitlin
Wright, Dagan
Fischer, Michael A
author_facet Morgan, Anna R
Hendricks, Michelle A
El Ibrahimi, Sanae
Hallvik, Sara E
Hatch, Brigit
Dickinson, Caitlin
Wright, Dagan
Fischer, Michael A
author_sort Morgan, Anna R
collection PubMed
description The United States faces an opioid crisis with an unprecedented and increasing death rate from opioid overdose. Successfully reducing the rates of opioid use disorder (OUD) and overdose will require the engagement of frontline clinicians to prescribe opioids more safely and to build their capacity to treat patients with OUD using evidence-based approaches. The COVID-19 pandemic has created significant challenges for patients, clinicians and health systems and has been associated with increasing risks of overdoses and deaths. Herein, we review a multidisciplinary project designed to implement and evaluate clinic-based interventions in Oregon, USA, to improve pain management, opioid prescribing and treatment of OUD. The intervention, called Improving PaIn aNd OPiOId MaNagemenT in Primary Care (PINPOINT), combines practice facilitation, academic detailing and education through the Oregon ECHO Network. Implementation of PINPOINT has occurred across the Oregon Rural Practice-based Research Network and has involved 49 clinic sites to date. To evaluate the impact of the intervention, the research team created the Provider Results of Opioid Management and Prescribing Training (PROMPT), a dataset that links information from the state prescription drug monitoring program, all-payer claims database, emergency medical services, vital records and substance use disorder treatment system. The PROMPT dataset will allow evaluation of the impact of the intervention at both the clinician and clinic levels. Due to the constraints of the COVID-19 pandemic, elements of both implementation and evaluation required significant adaptations to continue to meet the original project goals.
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spelling pubmed-86870932021-12-29 COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety Morgan, Anna R Hendricks, Michelle A El Ibrahimi, Sanae Hallvik, Sara E Hatch, Brigit Dickinson, Caitlin Wright, Dagan Fischer, Michael A Drugs Context Review The United States faces an opioid crisis with an unprecedented and increasing death rate from opioid overdose. Successfully reducing the rates of opioid use disorder (OUD) and overdose will require the engagement of frontline clinicians to prescribe opioids more safely and to build their capacity to treat patients with OUD using evidence-based approaches. The COVID-19 pandemic has created significant challenges for patients, clinicians and health systems and has been associated with increasing risks of overdoses and deaths. Herein, we review a multidisciplinary project designed to implement and evaluate clinic-based interventions in Oregon, USA, to improve pain management, opioid prescribing and treatment of OUD. The intervention, called Improving PaIn aNd OPiOId MaNagemenT in Primary Care (PINPOINT), combines practice facilitation, academic detailing and education through the Oregon ECHO Network. Implementation of PINPOINT has occurred across the Oregon Rural Practice-based Research Network and has involved 49 clinic sites to date. To evaluate the impact of the intervention, the research team created the Provider Results of Opioid Management and Prescribing Training (PROMPT), a dataset that links information from the state prescription drug monitoring program, all-payer claims database, emergency medical services, vital records and substance use disorder treatment system. The PROMPT dataset will allow evaluation of the impact of the intervention at both the clinician and clinic levels. Due to the constraints of the COVID-19 pandemic, elements of both implementation and evaluation required significant adaptations to continue to meet the original project goals. BioExcel Publishing Ltd 2021-12-15 /pmc/articles/PMC8687093/ /pubmed/34970321 http://dx.doi.org/10.7573/dic.2021-7-5 Text en Copyright © 2021 Morgan AR, Hendricks MA, El Ibrahimi S, Hallvik SE, Hatch B, Dickinson C, Wright D, Fischer MA https://creativecommons.org/licenses/by-nc-nd/4.0/Published by Drugs in Context under Creative Commons License Deed CC BY NC ND 4.0 which allows anyone to copy, distribute, and transmit the article provided it is properly attributed in the manner specified below. No commercial use without permission.
spellingShingle Review
Morgan, Anna R
Hendricks, Michelle A
El Ibrahimi, Sanae
Hallvik, Sara E
Hatch, Brigit
Dickinson, Caitlin
Wright, Dagan
Fischer, Michael A
COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title_full COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title_fullStr COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title_full_unstemmed COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title_short COVID-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
title_sort covid-19-related adaptations to the implementation and evaluation of a clinic-based intervention designed to improve opioid safety
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687093/
https://www.ncbi.nlm.nih.gov/pubmed/34970321
http://dx.doi.org/10.7573/dic.2021-7-5
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