Implementation of Opioid Safety Efforts: Influence of Academic Detailing on Adverse Outcomes Among Patients in the Veterans Health Administration
Williams E, Frost M, Bounthavong M, Edmonds A, Lau M, Edelman E, Harvey M, Christopher M. Implementation of Opioid Safety Efforts: Influence of Academic Detailing on Adverse Outcomes Among Patients in the Veterans Health Administration. Substance Use & Addiction Journal 2024, 45: 610-623. PMID: 38634339, DOI: 10.1177/29767342241243309.Peer-Reviewed Original ResearchVeterans Health AdministrationAcademic detailingAll-cause mortalityInpatient admissionsED visitsHealth AdministrationVA electronic health recordOpioid poisoningEmergency departmentOdds of all-cause mortalityElectronic health recordsRates of inpatient admissionsAssociated with decreased all-cause mortalityPatients prescribed long-term opioidsInterrupted time series analysisIncreased inpatient hospitalizationsOpioid-related outcomesOverdose prevention initiativesLong-term opioidsIncreasing incidence ratesLong-term opioid prescriptionsPatient-level dataObservational cohort of patientsHealth recordsAD implementationPerspectives of clinical stakeholders and patients from four VA liver clinics to tailor practice facilitation for implementing evidence-based alcohol-related care
Soyer E, Frost M, Fletcher O, Ioannou G, Tsui J, Edelman E, Weiner B, Bachrach R, Chen J, Williams E. Perspectives of clinical stakeholders and patients from four VA liver clinics to tailor practice facilitation for implementing evidence-based alcohol-related care. Addiction Science & Clinical Practice 2024, 19: 3. PMID: 38200496, PMCID: PMC10782537, DOI: 10.1186/s13722-023-00429-3.Peer-Reviewed Original ResearchConceptsConsolidated Framework for Implementation ResearchAlcohol-related careVeterans Health AdministrationRapid Assessment ProcessClinical stakeholdersPatient participationImplement interventionsBackgroundUnhealthy alcohol useLiver clinicEvidence-based strategiesClinical settingPractice facilitationProvider beliefsImplementation researchHealth AdministrationMethodsData collectionClinical resourcesQualitative interviewsAlcohol use disorderEducation-basedCareAlcohol useMedical CenterPreference-basedRelationship-based