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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.
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 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:
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.