Clinical Decision Support to Implement ED-initiated Buprenorphine for OUD
Completed · Not applicable
Conditions studied: Clinical Decision Support, Buprenorphine, Opioid-use Disorder
In brief
Emergency Departments (EDs) frequently care for individuals with Opioid Use Disorder (OUD). Buprenorphine (BUP) is an effective treatment option for patients with OUD that can safely be initiated in the ED. At present, BUP is rarely initiated as a part of routine ED care. Clinical decision support (CDS) represents a potential approach to accelerate adoption of this best practice into routine emergency care. The goal of this trial is to determine whether implementation of a user-centered clinical decision support (CDS) system can increase adoption of initiation of BUP into the routine emergency care of individuals with OUD.
Key facts
- Study ID
- NCT03658642
- Run by
- Yale University
- People needed
- 5047
- Starts
- 2019-11-15
- Expected to finish
- 2021-09-15
- Last updated by the study team
- 2022-06-28
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Clinicians
- All clinicians working in Emergency Departments in the selected sites
- Patients
- 18 years or older
- Will meet an EHR-derived phenotype suggesting possible OUD will be included in the analysis
- Will be discharged from the ED
- Not pregnant
- Not currently taking any medication for Opioid Use Disorder
You may not qualify if…
- Patients
- Have a medical or psychiatric condition that requires hospitalization during the ED visit
- Have prior enrollment in the current study
- Currently in addiction treatment
- Be a prisoner or in police custody at the time of ED visit
- Note: The CDS will also be available for physicians to use when patients do not meet the EHR phenotype. These patients will be excluded from the primary analyses
Where it is running
- UAB Medicine Highlands - Highlands ED, (HED) — Birmingham, Alabama, United States
- UAB - University Hospital ED (UED) — Birmingham, Alabama, United States
- UAB Freestanding Emergency Department of Gardendale (GED) — Gardendale, Alabama, United States
- UCHealth Anschutz Medical Campus (AMC) — Aurora, Colorado, United States
- UCHealth Memorial Hospital Central — Colorado Springs, Colorado, United States
- UCHealth Memorial Hospital North (MHN) — Colorado Springs, Colorado, United States
- UCHealth Poudre Valley Hospital (PVH) — Fort Collins, Colorado, United States
- UCHealth Medical Center of the Rockies — Loveland, Colorado, United States
- Bridgeport Hospital ED (BPT), YNHHS — Bridgeport, Connecticut, United States
- Greenwich Hospital ED (GH), YNHHS — Greenwich, Connecticut, United States
- St Raphael's Campus (SRC), YNHHS — New Haven, Connecticut, United States
- Lawrence + Memorial Hospital ED (L&M), YNHHS — New London, Connecticut, United States
- Baystate Franklin — Greenfield, Massachusetts, United States
- Baystate Wing Hospital ED — Palmer, Massachusetts, United States
- Baystate Springfield Hospital ED — Springfield, Massachusetts, United States
- Baystate Mary Lane Hospital ED — Ware, Massachusetts, United States
- Baystate Noble — Westfield, Massachusetts, United States
- UNC Hospitals Emergency Department, UNCHS — Chapel Hill, North Carolina, United States
- REX Healthcare Emergency Department, UNCHS — Raleigh, North Carolina, United States
- Emergency Care Center at Nash General Hospital, UNCHS — Rocky Mount, North Carolina, United States
- Chatham Hospital ED, UNCHS — Siler City, North Carolina, United States
- Johnston Health ED, UNCHS — Smithfield, North Carolina, United States
Full record on ClinicalTrials.gov
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