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System‐wide process changes improve procedural sedation billing in the pediatric emergency department

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71 patients were identified as candidates. 17 (24%) denied a history of opioid use, 11 (15%) declined, and the remaining 43 were appropriate for inclusion. Of these, the treating physician… Click to show full abstract

71 patients were identified as candidates. 17 (24%) denied a history of opioid use, 11 (15%) declined, and the remaining 43 were appropriate for inclusion. Of these, the treating physician refused to prescribe naloxone for 16 (37%), 2 (5%) already possessed naloxone, and 1 (2%) clinically deteriorated and was no longer able to participate. The remaining 24 (56%) were enrolled (Fig. 1). At the 3 month follow-up, 7 (29%) participants were successfully contacted, of which 2 (29%) had chosen to fill their prescription. None reported obstacles to obtaining naloxone.

Keywords: process changes; emergency; system wide; wide process; changes improve; improve procedural

Journal Title: American Journal of Emergency Medicine
Year Published: 2018

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