Department of Medicine, Division of General Internal Medicine and Geriatrics, Section of Addiction Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Mail Code: L475, Portland, OR, 97239, USA; Department of Family Medicine, Oregon Health & Science University, 3303 S Bond Avenue, Mail Code: CH9F, Portland, OR, 97239, USA.
Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Talbot Building, T2W, Boston, MA, 02118, USA; Evans Center for Implementation and Improvement Sciences, Boston University School of Medicine, 801 Massachusetts Ave, 2nd Floor, Boston, MA, 02118, USA.
Int J Drug Policy. 2021 Feb;88:103038. doi: 10.1016/j.drugpo.2020.103038. Epub 2020 Nov 21.
Opioid overdose deaths have surged due to fentanyl in the illicit opioid supply, which causes overdose more rapidly than other opioids. Public restrooms are venues where fentanyl overdoses commonly occur. In response, some organizations have implemented anti-motion alarm systems as a prevention approach. We aimed to describe the experiences and perceptions of public safety personnel after the installation of an anti-motion alarm system in public restrooms at an urban medical center.
From February to June 2019, we conducted semi-structured qualitative interviews to explore the experiences and perceptions of hospital public safety personnel who responded to overdoses in public restrooms with and without an anti-motion alarm system. We interviewed 11 personnel, with interviews lasting an average of twenty-six minutes. We conducted inductive thematic analysis to synthesize and identify salient themes.
Ten participants were male; the average age was 40 with an average time employed by the hospital of 12 years. Four themes were identified: Public safety personnel 1) believe responding to overdoses is an appropriate responsibility; 2) focus on their training rather than individual emotions when responding to an overdose; 3) view the anti-motion alarm system as an acceptable tool for preventing overdoses, despite technological challenges; and 4) report concern for potential unintended consequences of the anti-motion alarm system.
Overdose response in public restrooms has been incorporated into the daily duties of public safety personnel at an academic medical center. Anti-motion alarm systems are an innovation with potential to improve overdose response and safety, though the technology warrants ongoing development and unintended consequences should be assessed. To optimize restroom safety in the midst of fentanyl use, more research is needed among first responders, people who use drugs in restrooms, and other restroom patrons.
由于非法阿片供应中的芬太尼，阿片类药物过量死亡人数激增，芬太尼导致过量的速度比其他阿片类药物更快。公共厕所是芬太尼过量发生的场所。为此，一些组织已实施反动作报警系统作为预防措施。我们旨在描述在城市医疗中心的公共厕所中安装反动作报警系统后，公共安全人员的经验和看法。
从 2019 年 2 月至 6 月，我们进行了半结构化定性访谈，以探索在配备和不配备反动作报警系统的公共厕所中对过量药物作出反应的医院公共安全人员的经验和看法。我们采访了 11 名人员，每次采访平均持续 26 分钟。我们进行了归纳主题分析，以综合和确定突出的主题。
10 名参与者为男性；平均年龄为 40 岁，平均在医院工作 12 年。确定了四个主题：公共安全人员 1）相信应对过量用药是适当的责任；2）在应对过量用药时，将重点放在培训上，而不是个人情绪上；3）认为反动作报警系统是预防过量用药的一种可接受的工具，尽管存在技术挑战；4）报告对反动作报警系统潜在意外后果的关注。
在学术医疗中心，公共厕所中的过量用药反应已纳入公共安全人员的日常职责。反动作报警系统是一项创新，有可能改善过量用药反应和安全性，尽管该技术需要不断发展，并且应评估意外后果。为了在芬太尼使用期间优化厕所安全，需要在急救人员、在厕所使用药物的人和其他厕所使用者中进行更多的研究。
