Evidence map›Paper›PMID 30842919›Full record

ArticleThe mental health clinician2019

Evaluation and optimization of take-home naloxone in an academic medical center.

Jordan Cooler, Clint A Ross, Sophie Robert, Lauren Linder, Ann Marie Ruhe, Achsah Philip

Open access · goldAbstract read
In one paragraph

Article in The mental health clinician, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jordan CoolerClinical Pharmacy Specialist, Psychiatry, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0002-8839-6139
Clint A RossClinical Pharmacy Specialist, Psychiatry, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0002-2684-782X
Sophie RobertClinical Pharmacy Specialist, Psychiatry, Research Assistant Professor, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0003-4221-0252
Lauren LinderClinical Pharmacist, Medicine-Psychiatry, Palmetto Health-Richland Campus, Columbia, South Carolina.ORCID https://orcid.org/0000-0003-4587-7669
Ann Marie RuheClinical Pharmacy Specialist in Psychiatry, Sheppard Pratt Health System, Baltimore, Maryland.ORCID https://orcid.org/0000-0001-5681-4546
Achsah PhilipClinical Pharmacy Analyst, Medical University of South Carolina, Charleston, South Carolina.ORCID https://orcid.org/0000-0002-4354-8012
Medical University of South Carolina · USPalmetto Health Richland · USSheppard Pratt Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the United States in the midst of an opioid overdose epidemic, efforts to reduce overdose deaths have increased. Expanding access to the opioid antagonist naloxone can combat the epidemic. A pilot project in a psychiatric hospital resulted in the development of a screening tool in the electronic medical record (EMR) to help pharmacists identify adult inpatients at high risk of opioid overdose. Pharmacists can facilitate these patients being discharged with take-home naloxone. The purpose of this project was to optimize the screening tool for nonpsychiatric adult inpatient areas. Prior to implementation, a team of pharmacists familiar with the screening tool and take-home naloxone met with stakeholders to assess need for modification of the tool, determine barriers to implementation, and provide insight into the new service. In addition to expanding the tool into nonpsychiatric areas, a morphine-equivalents calculator was developed to identify patients receiving at least 100 mg of morphine equivalents per day to capture an additional at-risk population. Four short educational videos were developed to provide training to pharmacists. Initial performance of the screening tool was evaluated in general medicine patients over a 5-day period. Out of 44 admissions, 8 (18.2%) screened positive. The majority of those patients (5/8, 62.5%) screened positive for morphine equivalents greater than 100 mg. Anecdotally, the educational videos have been well received by pharmacy staff. Opioid overdose risk factors can be applied to nonpsychiatric inpatients for screening purposes in the EMR. Educational videos can be used to disseminate information to pharmacists on take-home naloxone and opioid overdose.

Indexed as

drug overdoseheroinnaloxoneopioid analgesicsopioid overdosepharmacist

Identifiers

PMID30842919
PMCPMC6398357
OpenAlexW2920626979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.