Abstract: Adoption of emergency department (ED)-initiation of buprenorphine (BUP) for opioid use disorder (OUD) into routine emergency care has been slow, partly due to perceptions that it is complicated and time-consuming. To address these barriers and guide emergency clinicians through the process of BUP initiation, we implemented a user-centered computerized clinical decision support (CDS) tool. In this pre-post pilot study, we evaluate the efficacy of this tool on the rate of ED-initiated BUP for OUD.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: This session will inform attendees about the results of a pilot study implementing a flexible, user-centered clinical decision support (CDS) tool, designed to support the adoption of the emergency department (ED) best clinical practice to initiate Buprenorphine/naloxone (BUP) for Opioid Use Disorder (OUD) patients.

Authors:

Wesley Holland, Yale University School of Medicine
Bidisha Nath (Presenter)
Yale University

Fangyong Li, Yale University
Kaitlin Maciejewski,, Yale University
Hyung Paek, Yale New Haven Health System
James Dziura, Yale University
Haseena Rajeevan, Yale University
Charles Lu, Yale University
Liliya Katsovich, Yale University
Gail D’Onofrio,, Yale University
Edward Melnick, Yale University