EMBED : A Pragmatic Trial of User Centered Clinical Decision Support for EMergency Department Initiated BuprenorphinE for Opioid Use Disorder, 5 U.S. states, 2019-2021 / Edward R. Melnick.

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English
Εdition
2022-11-03
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Ann Arbor, Mich. : Inter-university Consortium for Political and Social Research [distributor], 2022
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Summary note
Buprenorphine (BUP) is a highly efficacious drug for treatment of addiction for Opioid Use Disorder (OUD) patients. Although it is safe and effective to initiate this treatment in the emergency departments (ED) where a lot of OUD patients seek care, due to challenges related to lack of knowledge, et cetera this practice has not been widely adopted. The goal of this trial was to test the efficacy of a user centered clinical decision support (CDS) tool (EMBED) that was developed to facilitate ED clinicians to administer/prescribe BUP for OUD patients presenting to the ED. This was an 18-month long, pragmatic, parallel, group randomized trial implemented across 18 ED clusters (21 sites) in 5 healthcare systems randomly allocated in 1:1 ratio to intervention versus usual care arm. For the intervention, CDS was to support diagnosis and withdrawal assessment and automate electronic health record (EHR) documentation. The primary outcome was the initiation of BUP in ED at patient level.Cf: http://doi.org/10.3886/ICPSR38568.v1
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Title from ICPSR DDI metadata of 2022-11-08.
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Geographic coverage
  • Alabama
  • Colorado
  • Connecticut
  • Massachusetts
  • North Carolina
  • United States
Funding information
United States Department of Health and Human Services. National Institutes of Health. National Institute on Drug Abuse UH3DA047003
Methodology note
Patients aged 18 or older in 21 emergency department (ED) sites in 5 healthcare systems in 5 states, with probable Opioid Use Disorder (OUD) who were discharged from the ED, not pregnant, and not currently on medication for OUD as documented in the electronic health record.
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