全州范围内的政策，增加在急诊就诊时提供纳洛酮以治疗阿片类药物过量，罗得岛州，2018-2019 年。
Statewide Policy to Increase Provision of Take-Home Naloxone at Emergency Department Visits for Opioid Overdose, Rhode Island, 2018‒2019.
机构信息
Jennifer Griffith is with Brown University, Providence, RI. Rachel R. Yorlets is with the Department of Epidemiology at the Brown University School of Public Health. Laura C. Chambers is with the Substance Use Epidemiology Program at the Rhode Island Department of Health. Corey S. Davis is with the Network for Public Health Law, Edina, MN. Anna Wentz and Francesca L. Beaudoin are with the Department of Epidemiology at the Brown University School of Public Health. Janette Baird and Elizabeth A. Samuels are with the Department of Emergency Medicine at the Warren Alpert Medical School of Brown University.
出版信息
Am J Public Health. 2023 Apr;113(4):372-377. doi: 10.2105/AJPH.2022.307213. Epub 2023 Feb 6.
In 2017, Rhode Island responded to rising overdose deaths by establishing statewide emergency department (ED) treatment standards for opioid overdose and opioid use disorder. One requirement of the policy is that providers prescribe or provide take-home naloxone to anyone presenting to EDs with opioid overdose. Among adults presenting to EDs with opioid overdose from 2018 to 2019, approximately half received take-home naloxone. Receipt of naloxone was associated with administration of naloxone before ED presentation, ED policy certification level, and regional overdose frequency. (. 2023;113(4):372-377. https://doi.org/10.2105/AJPH.2022.307213).
2017 年，罗得岛州为应对不断上升的过量用药死亡人数，制定了全州范围内的急诊治疗阿片类药物过量和阿片类药物使用障碍的标准。该政策的一项要求是，提供者为任何因阿片类药物过量到急诊就诊的人开出处方或提供纳洛酮带回家。在 2018 年至 2019 年期间，因阿片类药物过量到急诊就诊的成年人中，约有一半人收到了纳洛酮带回家。纳洛酮的使用与急诊就诊前纳洛酮的使用、急诊政策认证级别和地区过量用药频率有关。（2023 年；113（4）：372-377。https://doi.org/10.2105/AJPH.2022.307213）。
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