TY - JOUR
KW - Analgesics, Opioid/adverse effects/therapeutic use
KW - Clinical Protocols
KW - Drug Prescriptions/statistics & numerical data
KW - Emergency Service, Hospital
KW - Guideline Adherence
KW - Humans
KW - Opioid-Related Disorders/prevention & control
KW - Outcome Assessment (Health Care)
KW - Pain/drug therapy
KW - Practice Guidelines as Topic
KW - Practice Patterns, Physicians'/statistics & numerical data
KW - Prescription Drug Misuse/prevention & control/statistics & numerical data
KW - United States
AU - R. I. Broida
AU - T. Gronowski
AU - A. F. Kalnow
AU - A. G. Little
AU - C. M. Lloyd
A1 - 
AB - INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP. RESULTS: We found that 17 states had emergency department-specific guidelines. We further organized the guidelines into four categories: limiting prescriptions for opioids with 67 total recommendations; preventing/diverting abuse with 56 total recommendations; addiction-related guidelines with 29 total recommendations; and a community resources section with 24 total recommendations. Our results showed that current state guidelines focus on providers limiting opioid pain prescriptions and vetting patients for possible abuse/diversion. CONCLUSION: This study highlights the 17 states that have addressed opioid prescribing guidelines and categorizes their efforts to date. It is hoped that this study will provide the basis for similar efforts in other states.
AD - US Acute Care Solutions, Risk Management Department, Canton, Ohio.; Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio.; Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio.; Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio.; Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio.
BT - The western journal of emergency medicine
C5 - Education & Workforce; Opioids & Substance Use
CP - 3
CY - United States
DO - 10.5811/westjem.2016.12.30854
IS - 3
JF - The western journal of emergency medicine
M1 - Journal Article
N2 - INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP. RESULTS: We found that 17 states had emergency department-specific guidelines. We further organized the guidelines into four categories: limiting prescriptions for opioids with 67 total recommendations; preventing/diverting abuse with 56 total recommendations; addiction-related guidelines with 29 total recommendations; and a community resources section with 24 total recommendations. Our results showed that current state guidelines focus on providers limiting opioid pain prescriptions and vetting patients for possible abuse/diversion. CONCLUSION: This study highlights the 17 states that have addressed opioid prescribing guidelines and categorizes their efforts to date. It is hoped that this study will provide the basis for similar efforts in other states.
PP - United States
PY - 2017
SN - 1936-9018; 1936-900X
SP - 340
EP - 344
EP - 
T1 - State Emergency Department Opioid Guidelines: Current Status
T2 - The western journal of emergency medicine
TI - State Emergency Department Opioid Guidelines: Current Status
U1 - Education & Workforce; Opioids & Substance Use
U2 - 28435482
U3 - 10.5811/westjem.2016.12.30854
VL - 18
VO - 1936-9018; 1936-900X
Y1 - 2017
Y2 - Apr
ER -