A Measurement Science Framework to Optimize CDS for Opioid Use Disorder Treatment in the ED
Iscoe M, Hooper C, Levy D, Lutz J, Paek H, Rose C, Kannampallil T, Meeker D, Dziura J, Melnick E. A Measurement Science Framework to Optimize CDS for Opioid Use Disorder Treatment in the ED. Applied Clinical Informatics 2025, 16: 1067-1076. PMID: 40834872, PMCID: PMC12431813, DOI: 10.1055/a-2595-0317.Peer-Reviewed Original ResearchConceptsClinical decision supportEmergency departmentED initiationOpioid use disorderScience FrameworkClinical decision support applicationsEmergency department-initiated buprenorphineUse disorderSingle health systemInitiation of buprenorphineOpioid use disorder treatmentWorking group sessionsHealth systemGroup sessionsEligible encountersCo-design processMultidisciplinary partnersCo-designPostmeeting surveysCDS performancePriority categoriesAHRQConsensus methodologyFinal measurementBuprenorphine initiationAdaptive decision support for addiction treatment to implement initiation of buprenorphine for opioid use disorder in the emergency department: protocol for the ADAPT Multiphase Optimization Strategy trial
Iscoe M, Hooper C, Levy D, Buchanan L, Dziura J, Meeker D, Taylor R, D’Onofrio G, Oladele C, Sarpong D, Paek H, Wilson F, Heagerty P, Delgado M, Hoppe J, Melnick E. Adaptive decision support for addiction treatment to implement initiation of buprenorphine for opioid use disorder in the emergency department: protocol for the ADAPT Multiphase Optimization Strategy trial. BMJ Open 2025, 15: e098072. PMID: 39979056, PMCID: PMC11842997, DOI: 10.1136/bmjopen-2024-098072.Peer-Reviewed Original ResearchConceptsClinical decision supportMultiphase optimization strategyOpioid use disorderEmergency departmentInitiation of buprenorphineClinical decision support usePlan-Do-Study-Act cyclesLearning health system approachPlan-Do-Study-ActClinical decision support toolHealth system approachAdaptive decision supportUse disorderDecision supportAddiction treatmentPeer-reviewed journalsBuprenorphine initiationOpioid use disorder treatment initiationOpioid-related mortalityIntervention componentsED settingClinician feedbackInstitute Institutional Review BoardTreatment of opioid use disorderParticipating sites
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