LEADER 02955cmm a22004217i 4500001    99126211338306421
006    m#####o##d########
007    cr#mn######a#a
008    221108s2022    miu     o     001 0 eng d
035    (MiAaI)ICPSR38568
040    MiAaI |beng |erda |cMiAaI
099    Electronic Resource
245 00 EMBED : |bA Pragmatic Trial of User Centered Clinical Decision Support for EMergency Department Initiated BuprenorphinE for Opioid Use Disorder, 5 U.S. states, 2019-2021 / |cEdward R. Melnick.
250    2022-11-03
264  1 Ann Arbor, Mich. : |bInter-university Consortium for Political and Social Research [distributor], |c2022
336    computer dataset |bcod |2rdacontent
337    computer |bc |2rdamedia
338    online resource |bcr |2rdacarrier
347    data file |2rda
490 0  ICPSR |v38568
516    Numeric
500    Title from ICPSR DDI metadata of 2022-11-08.
536    United States Department of Health and Human Services. National Institutes of Health. National Institute on Drug Abuse |cUH3DA047003
530    Also available as downloadable files.
522    Alabama
522    Colorado
522    Connecticut
522    Massachusetts
522    North Carolina
522    United States
520 3  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
505 8   |gDataset
567    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.
700 1  Melnick, Edward R. |uYale University. School of Medicine, |eeditor.
710 2  Inter-university Consortium for Political and Social Research. |0http://id.loc.gov/authorities/names/n79141035
830  0 ICPSR (Series) |v38568
956 40  |uhttp://doi.org/10.3886/ICPSR38568.v1