Table 1.
Emergency Department Work Domain | Clinical Example | Emergency Care Quality Indicators | Application to OUD |
---|---|---|---|
Time-sensitive treatment and stabilization | Acute myocardial infarction | Door-to-balloon time | Overdose reversal and clinical stabilization Treatment of severe withdrawal |
Stroke | Door-to-needle time Door-to-CT time |
||
Sepsis | Initial sepsis bundle compliance | ||
Trauma | Appropriate head CT use Protocolized trauma care |
||
Acute diagnostic center | Chest pain | Timely ECG and cardiac biomarkers | Assessment of undifferentiated altered mental status |
Abdominal pain | hCG testing in women | Identification of OUD | |
Headache | Appropriate head CT use | ||
Interpersonal violence | Intimate partner violence screening | Treatment of opioid withdrawal | |
Sexual assault | Sexual assault nurse examiner evaluation | ||
STI testing | STI testing and treatment | ||
Health care access and treatment linkage | Diabetes | Initiation of antihyperglycemics | |
Hypertension | Home medication adjustment | Referral to OUD treatment | |
Early pregnancy | Linkage to reproductive health care provider | ||
Tobacco use | Provision of smoking cessation resources | Harm reduction (naloxone, | |
Suicidal ideation | Linkage to psychiatric services | overdose education, syringe access) | |
Child and elder abuse | Mandatory reporting |
hCG; Human chorionic gonadotropin; OUD, opioid use disorder.