Veterans are disproportionately affected by chronic pain and are more likely to be prescribed opioids. As a means of risk mitigation, the Centers for Disease Control and Prevention and Department of Defense recommend naloxone for patients on opioids with risk factors, including use of ≥50 morphine milligram equivalents daily, concurrent benzodiazepine/sedative use, and pulmonary or liver disease. An interprofessional quality improvement team consisting of 6 residents, a pharmacist, a nurse educator, and a faculty mentor was formed to increase naloxone coprescriptions at a regional VA medical center Continuity of Care Clinic. Primary intervention identified eligible patients via the VA Primary Care Almanac’s Opioid Therapy Risk Report and alerted providers by email and secure messaging. Naloxone coprescription rates increased from 42% initially in June 2022 to 82% by June 2023 (29/69 to 41/50 patients, P &lt; 0.0001). This project demonstrates that notifying providers of high-risk patients can significantly increase naloxone coprescriptions.

Jeremy Zhang

Kathie Zhang

Joseph Phillips

Michael C. Sauer

Sarah Van Dorin

Patrick Watson

Lauren Zabel

Emily Peters

Yvonne De Sloover Koch

Ethan F. Kuperman

Matthew D. Soltys

American Journal of Medical Quality

美国医学质量杂志 (AJMQ) 专注于让读者了解有助于优质医疗保健服务的资源、流程和观点。这本经过同行评审的期刊提供了一个交流思想、战略和方法的论坛，以改善医疗保健的提供和管理。

The American Journal of Medical Quality focuses on providing readers with resources, processes, and perspectives that contribute to high-quality healthcare services. This peer-reviewed journal serves as a forum for exchanging ideas, strategies, and methods aimed at improving the delivery and management of healthcare.

《美国医学质量杂志》(American Journal of Medical Quality) 专注于为读者提供有助于优质医疗服务的资源、流程和观点。这本经过同行评审的期刊为交流改善医疗服务提供和管理的思想、战略和方法提供了一个平台。

Category	Quartile
医学	4
医学, 卫生保健与服务	4

Expanding Naloxone Coprescribing at a Regional VA Medical Center

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Journal Info

Category	Quartile
HEALTH CARE SCIENCES & SERVICES	4