J Am Pharm Assoc (2003). 2024 Sep-Oct;64(5):102152. doi: 10.1016/j.japh.2024.102152. Epub 2024 Jul 2.
Pharmacy has an important role in combating the opioid epidemic. However, there is a need for more consistency of programs and evidence-based practices across the country.
To describe how an evidence-based opioid misuse and overdose prevention program that originated in North Dakota was implemented in West Virginia and to compare program results between the two states including pharmacist interventions and patient screening for opioid misuse and overdose.
This advancement in practice took place in participating North Dakota and West Virginia community pharmacies.
An evidence-based program that originated in North Dakota was implemented in West Virginia. The details of this collaboration are outlined in this manuscript.
Program screening and pharmacist intervention data were collected using DocStation, an online pharmacy patient management platform.
Thirty-four pharmacies in West Virginia implemented the program. Between April 2022 and September 2023, a total of 34 West Virginia pharmacies conducted 449 documented screenings compared to 12,105 screenings by 81 pharmacies in North Dakota over the same time. There were differences between the states with regard to the proportion of individuals screened as high-risk for opioid use disorder and individuals at risk of accidental opioid overdose likely attributable to different demographics.
An opioid misuse and prevention program was successfully implemented in two states, which can serve as a model to implement similar programs in other pharmacies across the United States.
药学在应对阿片类药物泛滥方面发挥着重要作用。然而，全国各地仍需要更加一致的项目和循证实践。
描述起源于北达科他州的一个基于证据的阿片类药物滥用和过量预防计划如何在西弗吉尼亚州实施，并比较这两个州的计划结果，包括药剂师干预措施和对阿片类药物滥用和过量的患者筛查。
这一实践上的进步发生在参与的北达科他州和西弗吉尼亚州社区药房。
一个起源于北达科他州的循证项目在西弗吉尼亚州实施。本文档概述了此次合作的细节。
使用 DocStation（一种在线药房患者管理平台）收集计划筛查和药剂师干预数据。
西弗吉尼亚州有 34 家药店实施了该计划。在 2022 年 4 月至 2023 年 9 月期间，与北达科他州 81 家药店在同一时期进行的 12,105 次筛查相比，西弗吉尼亚州的 34 家药店共进行了 449 次有记录的筛查。在筛查出高危阿片类药物使用障碍者和可能因不同人口统计学特征而有意外阿片类药物过量风险者的个体比例方面，这两个州存在差异。
在两个州成功实施了一个阿片类药物滥用和预防计划，这可以作为在美国其他药店实施类似计划的模型。
