Naloxone distribution protocol: quality improvement project in Southern New Mexico Family Medicine Residency Program

05-13-2019 23:45

Note: This serves as Appendix 1, to paper "Addressing the Opiate Crisis: Community Partnerships in Primary Care" submitted to STFM PriMER which is currently under consideration with major revisions by editorial staff.

New Mexico is currently ranked 17th in the U.S. for drug overdose death rates, and Doña Ana County had 166 deaths from 2012-2016. This project seeks to decrease opiate overdose deaths in Doña Ana County by increasing the number of patients with naloxone in a local family medicine (FM) residency clinic. A protocol was developed where providers asked patients at risk of opiate overdose, defined as use of any opiate, about naloxone access. Free naloxone was distributed in partner with the health department, accompanied by teaching of use. Chart visits were reviewed during a 45 day control and study period to measure naloxone possession among patients at risk. This protocol has been attached here as a general resource.

Author(s):Jamie Weinand, MD1, Athena Huckaby MPH2, Olivia Chavez RN1, BSN, Jeanette Lara, MD1, Laura Leija, MD1, Chris Morris, MD1, Shawn Rowland, MD1, Ramona Sharma, MD1, Davena Norris, Pharm.D. 1, BCPS, Minerva Medrano de Ramirez, MD1, Salvador Adame-Zambrano, MD1, John Andazola, MD1. 1. Memorial Medical Center, Southern New Mexico Family Medicine Residency Program, Las Cruces, New Mexico, 88011. 2. Doña Ana County Health and Human Services, Las Cruces, NM 88007
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