User centered clinical decision support to implement initiation of buprenorphine for opioid use disorder in the emergency department: EMBED pragmatic cluster randomized controlled trial.

ABSTRACT:

Objective

To determine the effect of a user centered clinical decision support tool versus usual care on rates of initiation of buprenorphine in the routine emergency care of individuals with opioid use disorder.

Design

Pragmatic cluster randomized controlled trial (EMBED).

Setting

18 emergency department clusters across five healthcare systems in five states representing the north east, south east, and western regions of the US, ranging from community hospitals to tertiary care centers, using either the Epic or Cerner electronic health record platform.

Participants

599 attending emergency physicians caring for 5047 adult patients presenting with opioid use disorder.

Intervention

A user centered, physician facing clinical decision support system seamless

SUBMITTER: Melnick ER 

PROVIDER: S-EPMC9231533 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature