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Collaborators: Nicole M. Acquisto, PharmD and Marissa Pasho, NP)Tj ( )Tj /TT0 1 Tf 0 -2.3 TD (ABSTRACT)Tj ( )Tj 0 -2.32 TD (Purpose)Tj ( )Tj /TT1 1 Tf 0 -2.3 TD (Naloxone distribution is a harm reduction strategy to combat the opioid \ epidemic)Tj 32.52 0 Td (. )Tj (The aim is to use an )Tj -32.52 -2.32 Td (interdisciplinary team to screen hospitalized medicine patients at hig)Tj 27.436 0 Td (h risk for an opioid overdose or adverse )Tj -27.436 -2.3 Td (event, thereby increasing the co)Tj 12.689 0 Td (-)Tj (prescription of naloxone kits to patients on discharged in an academic, \ tertiary )Tj -12.689 -2.32 Td (care center. )Tj ( )Tj ( )Tj /TT0 1 Tf T* (Methods )Tj ( )Tj /TT1 1 Tf 0 -2.32 TD (Our project took place in an a)Tj (cademic, tertiary care center on)Tj 24.459 0 Td ( )Tj (a)Tj ( )Tj (medicine)Tj ( )Tj (unit. An interdisciplinary team of )Tj -24.459 -2.3 Td (physicians, advanced practice providers, nurses, care coordinators, soci\ al workers and pharmacists led by a )Tj T* (physician champion developed)Tj ( )Tj (and implemented)Tj ( )Tj (a naloxone distribution program. The team developed )Tj 0 -2.3 TD (screen)Tj (ing criteria, a process for identification, nursing driven naloxone educ\ ation and collaborated with )Tj 0 -2.32 TD (outpatient pharmacy for bedside naloxone kit delivery. A provider and nu\ rsing educational campaign was )Tj 0 -2.3 TD (completed at program implementation. )Tj 15.801 0 Td ( )Tj /TT0 1 Tf -15.801 -2.32 Td (Results )Tj ( )Tj /TT1 1 Tf T* (In tot)Tj (al, two patients )Tj (received a naloxone kit at discharge )Tj 23.075 0 Td (in the seven months prior to)Tj ( )Tj (program)Tj ( )Tj (implementation )Tj -23.075 -2.32 Td (compared to)Tj ( )Tj (64)Tj ( )Tj (patients)Tj ( )Tj (in the seven months post)Tj (-)Tj (implementation. Common reasons for high)Tj (-)Tj (risk identification )Tj T* (were high morphine milligram equivalents )Tj 17.301 0 Td (\(n=32\), concomitant opioid and benzodiazepine use \(n=12\), history )Tj -17.301 -2.32 Td (of substance use disorder \(n=7\), or medication)Tj (-)Tj (assisted treatment \(n=6\). )Tj ( )Tj /TT0 1 Tf T* (Conclusion)Tj ( )Tj /TT1 1 Tf 0 -2.32 TD (This unit)Tj (-)Tj (based pilot was successful in identifying high)Tj (-)Tj (risk patients and providing naloxone kits and ed)Tj (ucation )Tj 0 -2.3 TD (at )Tj (hospital )Tj (discharge. )Tj ( )Tj ET endstream endobj 12 0 obj <>stream HyTSwoɞc [5laQIBHADED2mtFOE.c}08׎8GNg9w߽'0 ֠Jb  2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'Kt;\ ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹A om?W= x-[0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?׸c. 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Train, DO. Collaborators: Nicole M. Acquisto, PharmD a\ nd Marissa Pasho, NP )Tj EMC /H2 <>BDC /TT0 1 Tf 0 -2.3 TD (ABSTRACT )Tj EMC /H3 <>BDC 0 -2.32 TD (Purpose )Tj EMC /P <>BDC /TT1 1 Tf 0 -2.3 TD [(Naloxone distribution is a harm reduction strategy to combat the opioid \ epidemic)5(. The aim is to use an )]TJ 0 -2.32 TD [(interdisciplinary team to screen hospitalized medicine patients at hig)5(h risk for an opioid overdose or adverse )]TJ 0 -2.3 TD [(event, thereby increasing the co)2(-prescription of naloxone kits to patients on discharged in an academic,\ tertiary )]TJ 0 -2.32 TD (care center. )Tj EMC /H3 <>BDC /TT0 1 Tf 0 -2.3 TD (Methods )Tj EMC /P <>BDC /TT1 1 Tf 0 -2.32 TD [(Our project took place in an academic, tertiary care center on)5( a medicine unit. An interdisciplinary team of )]TJ 0 -2.3 TD (physicians, advanced practice providers, nurses, care coordinators, soci\ al workers and pharmacists led by a )Tj 0 -2.32 TD (physician champion developed and implemented a naloxone distribution pro\ gram. The team developed )Tj 0 -2.3 TD (screening criteria, a process for identification, nursing driven naloxon\ e education and collaborated with )Tj 0 -2.32 TD (outpatient pharmacy for bedside naloxone kit delivery. A provider and nu\ rsing educational campaign was )Tj 0 -2.3 TD [(completed at program implementation. )3( )]TJ EMC /H3 <>BDC /TT0 1 Tf 0 -2.32 TD (Results )Tj EMC /P <>BDC /TT1 1 Tf 0 -2.3 TD [(In total, two patients received a naloxone kit at discharge )4(in the seven months prior to program implementation )]TJ 0 -2.32 TD (compared to 64 patients in the seven months post-implementation. Common \ reasons for high-risk identification )Tj 0 -2.3 TD [(were high morphine milligram equivalents )3(\(n=32\), concomitant opioid and benzodiazepine use \(n=12\), history )]TJ 0 -2.32 TD (of substance use disorder \(n=7\), or medication-assisted treatment \(n=\ 6\). )Tj EMC /H3 <>BDC /TT0 1 Tf 0 -2.3 TD (Conclusion )Tj EMC /P <>BDC /TT1 1 Tf 0 -2.32 TD (This unit-based pilot was successful in identifying high-risk patients a\ nd providing naloxone kits and education )Tj 0 -2.3 TD (at hospital discharge. )Tj EMC ET endstream endobj 39 0 obj <> endobj 40 0 obj <>/Filter/FlateDecode/ID[<5532EE276B374860A388762E36B4C438><0AAD97678A224BF5A445E2CFE0AB0C4F>]/Index[1 1 8 2 23 18]/Info 39 0 R/Length 59/Prev 116/Root 8 0 R/Size 41/Type/XRef/W[1 2 0]>>stream hbbb0H+@ZHi 6@h&r\@67@  endstream endobj startxref 45756 %%EOF