Evidence map›Paper›PMID 38165180›Full record

ArticleThe western journal of emergency medicine2023

Emergency Department Buprenorphine Quality Improvement and Emergency Physician Knowledge, Attitudes, and Self-Efficacy.

Michelle L Myles, Kelli Scott, Hannah N Ziobrowski, Sarah A Helseth, Sara Becker, Elizabeth A Samuels

Open access · goldAbstract read
In one paragraph

Article in The western journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 1 citations in OpenAlex.

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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.

Michelle L MylesBrown University, Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island.
Kelli ScottNorthwestern University, Feinberg School of Medicine, Center for Dissemination and Implementation Science, Chicago, Illinois.
Hannah N ZiobrowskiBrown University, School of Public Health, Department of Epidemiology, Providence, Rhode Island.
Sarah A HelsethNorthwestern University, Feinberg School of Medicine, Center for Dissemination and Implementation Science, Chicago, Illinois.
Sara BeckerNorthwestern University, Feinberg School of Medicine, Center for Dissemination and Implementation Science, Chicago, Illinois.
Elizabeth A SamuelsBrown University, Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island.
Northwestern University · USBrown University · USUniversity of California, Los Angeles · US

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Brandon David Lewis Marshall · 2018 to 2026
$23.4M
Development and Preliminary Testing of an Adjunct Smartphone App to Reduce Marijuana Use in Court-Involved, Non-Incarcerated AdolescentsK23DA048062 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HELSETH, SARAH ASHLEY · 2020 to 2024
$958k
Pilot Implementation of Measurement-Based Care in Community Opioid Treatment ProgramsK23DA050729 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCOTT, KELLI · 2021 to 2025
$946k
NIDA NIH HHS K23 DA048062NIDA NIH HHS K23 DA050729NIGMS NIH HHS P20 GM125507NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

Objective: Buprenorphine is an evidence-based treatment for opioid use disorder that is underused in the emergency department (ED). In this study we evaluated changes in emergency physician knowledge, confidence, and self-efficacy regarding buprenorphine prescribing and working with patients who use drugs after implementation of an ED buprenorphine quality improvement (QI) initiative. Methods: An anonymous, online survey was administered to emergency physicians staffing four EDs in New England in 2019 and 2020 before and after an ED QI initiative. Survey questions included novel and previously validated questions to assess confidence, knowledge, self-efficacy, and attitudes about buprenorphine and working with patients who use drugs. Confidence, self-efficacy, and attitude responses were assessed on a Likert scale. Participants received a gift card for survey completion. We analyzed pre- and post- survey responses descriptively and compared them using Results: Of 95 emergency physicians, 56 (58.9% response rate) completed the pre-intervention survey and 60 (63.2%) completed the post-survey. There was an increase in the number of X-waivered adult emergency physicians and ED buprenorphine prescribing after program implementation. Physician confidence increased from a mean of 3.4 ( Conclusion: After an ED QI initiative, buprenorphine prescribing in the ED increased, as did both physician confidence in working with patients who use drugs and their knowledge of buprenorphine. Increased confidence was associated with higher odds of buprenorphine prescribing and should be a focus of future, buprenorphine implementation strategies in the ED.

Indexed as

BuprenorphineOpioid-Related DisordersPhysiciansAdultEmergency Service, HospitalHealth Knowledge, Attitudes, PracticeHumansOpiate Substitution TreatmentQuality ImprovementSelf EfficacyBuprenorphine

Identifiers

PMID38165180
PMCPMC10754198
OpenAlexW4386732495

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.