LOUD in the ED

Loud in the ED

LOUD in the ED

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The Learning about Opioid Use Disorder in the Emergency Department (LOUD in the ED) Collaborative was a provincial quality improvement initiative focused on ED care for people who use opioids.

We led LOUD in the ED in partnership with the Overdose Emergency Response Centre and the BC Center on Substance Use to shift how emergency departments care for people who use opioids.

This virtual Action Series included a combination of virtual learning, coaching, networking and local improvement actions from October 2020 – March 2021. Twenty-five teams from across the province engaged in learning and application of change ideas related to clinical practice, education, person- and provider-centred care and connections to the community. Participating teams also engaged with each other to share new learning and insights from their local improvement work.

LOUD in the ED Resource Page

LOUD in the ED Final Report 2020/21

This report summarizes the background and intent of LOUD in the ED. Plus, key learnings and opportunities are offered for future initiatives and for system transformation in Opioid Use Disorder care within BC.
Read the Report

Frequently Asked Questions

LOUD in the ED aimed to improve the experience of OUD care for people and providers, and to reduce the morbidity and mortality for people with OUD in the ED by improving access to evidence-informed care. This includes access to buprenorphine-naloxone (Suboxone®).

The LOUD in the ED action series began in October 2020 and ended in March 2021.

Action Period 1

Learning Session 1: Recommended Clinical Decision Support Tuesday, October 6 @ 0800-1130
Coaching Call: Case Study Wednesday, October 21 @ 1000-1100
Coaching Call: Pharmacy & Microdosing Wednesday, October 28 @ 1330-1430

Action Period 2

Learning Session 2: Clinical Education & Strategies Thursday, November 5 @ 1100-1200
Coaching Call: Education Strategies Monday, November 16 @ 1200-1300
Coaching Call: PPO Case Study Wednesday, November 24 @ 1000-1100

Action Period 3

Learning Session 3: Person- and Provider-Centred Care Tuesday, December 1 @ 1200-1300
Coaching Call: Case Study – EQUIP in Action Wednesday, December 9 @ 1500-1600
Coaching Call: Communication & Community Prescribing Tuesday, December 15 @ 1400-1500

Action Period 4

Learning Session 4: Connection Continuum Thursday, January 14 @ 0800-1130
Coaching Call: Remote/Rural versus Urban Perspectives on Transitions of Care Thursday, January 28 @ 1200-1300

Action Period 5

Wrap Up & Celebration Wednesday, February 10 @ 1200-1300


Twenty-one percent of people with OUD have their first point of contact with the health care system in the ED – there is never a second chance to make a first impression. The ED setting provides a unique opportunity to connect with people who use drugs and intervene early. Many ED teams experience the effects of OUD on a daily basis and this initiative supported teams to provide evidence-based, quality care.

Applying best practice for people with OUD in the ED improves patient care and has the potential to reduce length of stay, readmission rates, and workload and burnout for staff.

Teams benefited from focused support, the opportunity to collaborate with, and learn from, other teams from across the province, and quality improvement training that can be applied to all areas of care you provide.

The LOUD in the ED Action Series combined opportunities for learning and networking with opportunities to apply change ideas at local sites. This included:

  • Five interactive webinars to teach and highlight tools for improving care in your ED;
  • Action periods following each webinar during which teams worked together to explore application of the new tools and translate ideas into practice;
  • Coaching calls to support team improvement efforts.

PWLLE are integral members and leaders in both the planning and action stages of the collaborative. Some of the faculty members were PWLLE, and additional PWLLE are being engaged in the development of resources and education. Participating teams were encouraged to have a PWLLE as part of their core team membership.

Sign up for the LOUD in the ED Newsletter

Fill out the form below to learn more as a LOUD in the ED supporter. You will receive a (typically) monthly newsletter that originates from our provider, CyberImpact, and you can unsubscribe at any time. Questions? Contact us at loud@bcpsqc.ca
  • Check the box to stay informed about our work, events and learning opportunities. You’ll receive (typically) bi-weekly newsletters that originate from our provider, CyberImpact, and you can unsubscribe at any time. Questions? Contact us at info@bcpsqc.ca.
This information is collected by the BC Patient Safety & Quality Council under section 26(c) of the Freedom of Information and Protection of Privacy Act and will be used for the purposes of event administration and to distribute newsletters. If you have any questions about the collection of this information, please contact: Dallas Smith, Executive Director of Health System Improvement & Engagement, 201-750 Pender Street W, Vancouver, BC at dsmith@bcpsqc.ca.

Key Contact

Dallas Smith
Director, Analytics & Strategic Initiatives