Elizabeth A. Samuels
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View article: Impact of Substance Use Navigators on Initiation of Treatment for Substance Use Disorders and 30-Day Unplanned Readmission
Impact of Substance Use Navigators on Initiation of Treatment for Substance Use Disorders and 30-Day Unplanned Readmission Open
Background The prevalence of substance use disorders (SUDs) is high among hospitalized patients, yet adoption of evidence-based practices to address SUDs in this population is limited. Substance use navigators (SUNs) are a promising interv…
View article: Tenant Reports of In-Home Asthma Triggers and Adult Emergency Department Use
Tenant Reports of In-Home Asthma Triggers and Adult Emergency Department Use Open
Importance Housing conditions are well recognized as a significant contributor to asthma burden. However, due to the inherent difficulty of in-home exposure assessment, there is only limited evidence evaluating the extent of population-lev…
View article: Increasing Emergency Department Patient Navigation And Buprenorphine Use: A Model For Low-Barrier Treatment
Increasing Emergency Department Patient Navigation And Buprenorphine Use: A Model For Low-Barrier Treatment Open
Emergency departments (EDs) in the US treat large numbers of people with opioid use disorder (OUD), but most health systems do not equip EDs to provide OUD care. CA Bridge has supported the implementation of low-threshold, ED-initiated med…
View article: Emergency Clinician Buprenorphine Initiation, Subsequent Prescriptions, and Continuous Prescriptions
Emergency Clinician Buprenorphine Initiation, Subsequent Prescriptions, and Continuous Prescriptions Open
Importance Rates of opioid use disorder (OUD) and associated mortality in the US remain high. Treatment of OUD with buprenorphine reduces morbidity and mortality. There have been national efforts to expand buprenorphine initiation to the e…
View article: Impact of California's naloxone co‐prescription law on emergency department visits, 30‐day mortality, and prescription patterns
Impact of California's naloxone co‐prescription law on emergency department visits, 30‐day mortality, and prescription patterns Open
This study revealed that the implementation of California's naloxone prescription mandate was associated with significantly increased naloxone prescribing and decreased opioid prescribing, but no significant change in ED opioid overdose vi…
View article: Risk and protective factors associated with posttraumatic stress disorder among layperson responders to opioid overdose incidents.
Risk and protective factors associated with posttraumatic stress disorder among layperson responders to opioid overdose incidents. Open
Responding to opioid overdoses is traumatizing for many and results in a considerable burden of PTSD among layperson responders. As such, we call for trauma-informed interventions that cater to the unique experiences of layperson opioid ov…
View article: “K Cramps,” Recurrent Abdominal Pain in a Patient with Chronic Ketamine Use: A Case Report
“K Cramps,” Recurrent Abdominal Pain in a Patient with Chronic Ketamine Use: A Case Report Open
Introduction: Medical and nonmedical ketamine use is increasing in the United States. This will likely lead to an increase in emergency department (ED) visits in individuals experiencing associated side effects. Physicians will need to be …
View article: Poor housing conditions are associated with neighborhood variation in childhood asthma emergency department visit rates in Austin, Texas
Poor housing conditions are associated with neighborhood variation in childhood asthma emergency department visit rates in Austin, Texas Open
View article: Tenant Reports of Poor Housing Conditions Are Associated with Neighborhood Rate of Childhood Asthma Emergency Department Visits in Boston, MA
Tenant Reports of Poor Housing Conditions Are Associated with Neighborhood Rate of Childhood Asthma Emergency Department Visits in Boston, MA Open
View article: Extended-Release 7-Day Injectable Buprenorphine for Patients With Minimal to Mild Opioid Withdrawal
Extended-Release 7-Day Injectable Buprenorphine for Patients With Minimal to Mild Opioid Withdrawal Open
Importance Buprenorphine is an effective yet underused treatment for opioid use disorder (OUD). Objective To evaluate the feasibility (acceptability, tolerability, and safety) of 7-day injectable extended-release buprenorphine in patients …
View article: Scaling Emergency Department Opioid Use Disorder Treatment Across California to Reduce Overdose Deaths, 2019–2023
Scaling Emergency Department Opioid Use Disorder Treatment Across California to Reduce Overdose Deaths, 2019–2023 Open
Since April 2019, CA Bridge has worked with emergency departments (EDs) in diverse geographic and emergency care settings across California to scale up low-threshold buprenorphine access, patient navigation programs, harm reduction service…
View article: Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island
Spatiotemporal analysis of the association between residential eviction and fatal overdose in Rhode Island Open
Objective Policy ramifications of the COVID-19 pandemic shape the concurrent housing and overdose crises in the USA. Housing insecurity is a known risk factor for overdose, yet how residential eviction may influence fatal overdose risk is …
View article: Emergency Department Access to Buprenorphine for Opioid Use Disorder
Emergency Department Access to Buprenorphine for Opioid Use Disorder Open
Importance Although substantial evidence supports buprenorphine for treatment of opioid use disorder (OUD) in controlled trials, prospective study of patient outcomes in clinical implementation of emergency department (ED) buprenorphine tr…
View article: Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions: A geo-spatial analysis of Rhode Island, USA
Characterizing opioid overdose hotspots for place-based overdose prevention and treatment interventions: A geo-spatial analysis of Rhode Island, USA Open
Neighborhoods with increased prevalence of housing instability and poverty are at highest risk of overdose. The high availability of social services in overdose hotspots presents an opportunity to work with established organizations to pre…
View article: Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department
Leveraging a Learning Collaborative Model to Develop and Pilot Quality Measures to Improve Opioid Prescribing in the Emergency Department Open
View article: 91 Bridging to Better Substance Use Treatment: Implementation and Effectiveness of Statewide Emergency Department Opioid Use Disorder Treatment Programs in California
91 Bridging to Better Substance Use Treatment: Implementation and Effectiveness of Statewide Emergency Department Opioid Use Disorder Treatment Programs in California Open
View article: Emergency Department Buprenorphine Quality Improvement and Emergency Physician Knowledge, Attitudes, and Self-Efficacy
Emergency Department Buprenorphine Quality Improvement and Emergency Physician Knowledge, Attitudes, and Self-Efficacy Open
After an ED QI initiative, buprenorphine prescribing in the ED increased, as did both physician confidence in working with patients who use drugs and their knowledge of buprenorphine. Increased confidence was associated with higher odds of…
View article: Behavioral Health Decision Support Systems and User Interface Design in the Emergency Department
Behavioral Health Decision Support Systems and User Interface Design in the Emergency Department Open
Objective The objective of this qualitative study is to gauge physician sentiment about an emergency department (ED) clinical decision support (CDS) system implemented in multiple adult EDs within a university hospital system. This CDS sys…
View article: Examination of the Accuracy of Existing Overdose Surveillance Systems
Examination of the Accuracy of Existing Overdose Surveillance Systems Open
Importance Health departments have used a variety of methods for overdose surveillance, and the Centers for Disease Control and Prevention (CDC) is implementing a standardized case definition to improve overdose surveillance nationally. Th…
View article: Emotion Dysregulation as a Risk Factor for Posttraumatic Stress Disorder Stemming from Opioid Overdose Responding Among Community Laypeople
Emotion Dysregulation as a Risk Factor for Posttraumatic Stress Disorder Stemming from Opioid Overdose Responding Among Community Laypeople Open
View article: Evaluation of a Statewide Policy to Improve Post-Overdose Care in Emergency Departments and Subsequent Treatment Engagement.
Evaluation of a Statewide Policy to Improve Post-Overdose Care in Emergency Departments and Subsequent Treatment Engagement. Open
Statewide post-overdose treatment standards may improve provision of some ED services. Additional strategies are needed to improve subsequent treatment engagement.
View article: Statewide Policy to Increase Provision of Take-Home Naloxone at Emergency Department Visits for Opioid Overdose, Rhode Island, 2018‒2019
Statewide Policy to Increase Provision of Take-Home Naloxone at Emergency Department Visits for Opioid Overdose, Rhode Island, 2018‒2019 Open
In 2017, Rhode Island responded to rising overdose deaths by establishing statewide emergency department (ED) treatment standards for opioid overdose and opioid use disorder. One requirement of the policy is that providers prescribe or pro…
View article: Outcome class imbalance and rare events: An underappreciated complication for overdose risk prediction modeling
Outcome class imbalance and rare events: An underappreciated complication for overdose risk prediction modeling Open
Background and aims Low outcome prevalence, often observed with opioid‐related outcomes, poses an underappreciated challenge to accurate predictive modeling. Outcome class imbalance, where non‐events (i.e. negative class observations) outn…
View article: Provider and administrator attitudes and experiences with implementing telebuprenorphine during the COVID-19 pandemic: a mixed-methods survey
Provider and administrator attitudes and experiences with implementing telebuprenorphine during the COVID-19 pandemic: a mixed-methods survey Open
Findings from this study highlight considerable heterogeneity in the delivery of telebuprenorphine services.
View article: An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement
An evaluation of the association between specific post‐overdose care services in emergency departments and subsequent treatment engagement Open
View article: A Quality Measurement Framework for Emergency Department Care of Psychiatric Emergencies
A Quality Measurement Framework for Emergency Department Care of Psychiatric Emergencies Open
View article: Sociodemographic and prescribing characteristics that impact long-term retention in buprenorphine treatment for opioid use disorder among a statewide population
Sociodemographic and prescribing characteristics that impact long-term retention in buprenorphine treatment for opioid use disorder among a statewide population Open
View article: Emergency Nurses’ Perceptions of Opioid Use Disorder and Its Treatment in the Emergency Department
Emergency Nurses’ Perceptions of Opioid Use Disorder and Its Treatment in the Emergency Department Open
Objectives: To describe the knowledge and attitudes of emergency nurses regarding caring for patients with opioid use disorder in the emergency department.Background: Many eligible patients with opioid use disorder do not receive available…
View article: Effect of a Peer-Led Behavioral Intervention for Emergency Department Patients at High Risk of Fatal Opioid Overdose
Effect of a Peer-Led Behavioral Intervention for Emergency Department Patients at High Risk of Fatal Opioid Overdose Open
ClinicalTrials.gov Identifier: NCT03684681.
View article: The Perceived Impact of the COVID-19 Pandemic on the Social Needs of Adult Emergency Department Patients
The Perceived Impact of the COVID-19 Pandemic on the Social Needs of Adult Emergency Department Patients Open
This study suggests that unmet social needs have risen because of COVID-19, and EDs may be positioned to identify and assist affected patients.