A Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder
Glenn M, Crowe R, Dorsett M, Taigman M, Herring A, Mercer M, Joiner A, Venkatesh A, Davis C, Hawk K, Hern H, Carroll G, Cabañas J, D’Onofrio G, Samuels E. A Prehospital Quality Improvement Framework to Reduce Mortality and Other Harms Associated with Opioid Use Disorder. Prehospital Emergency Care 2024, ahead-of-print: 1-9. PMID: 39671519, DOI: 10.1080/10903127.2024.2428671.Peer-Reviewed Original ResearchEmergency medical servicesOpioid use disorderQI frameworkQuality improvementHarm reductionQuality improvement frameworkHarms associated with opioid useEvidence-based practiceReduce mortalityReduce overdose deathsEscalating overdose crisisImproved frameworkMedical servicesMultidisciplinary teamOverdose crisisAddiction medicinePublic healthOverdose deathsSubject matter expertsPrehospitalOpioid useQuality measuresAdverse outcomesUse disorderHarmUsing qualitative system dynamics modeling to understand overdose bystander behavior in the context of Connecticut’s Good Samaritan Laws and identify effective policy options
Thompson R, Sabounchi N, Ali S, Heimer R, D’Onofrio G, Heckmann R. Using qualitative system dynamics modeling to understand overdose bystander behavior in the context of Connecticut’s Good Samaritan Laws and identify effective policy options. Harm Reduction Journal 2024, 21: 124. PMID: 38937759, PMCID: PMC11210010, DOI: 10.1186/s12954-024-00990-3.Peer-Reviewed Original ResearchConceptsSamaritan lawsGood Samaritan lawsBystander behaviorGroup model buildingFear of legal consequencesKnowledge of protectionResponses to opioid overdosesCriminal liabilityDrug arrestsLegal consequencesLaw enforcementNaloxone useLawStakeholder-engaged processOpioid overdoseHealth care providersFatal opioid overdoseSustainable system changeOpioid-related outcomesBystander experiencesSamaritanCare providersHarm reductionPotential bystandersPolicy determination