Background: What happens when “best practice” is not practiced? Prescribing naloxone to patients at high risk of opioid overdose is considered best practice by the United States Department of Health in order to decrease the risk of overdose and maximize patient safety. Research also shows that patients who receive naloxone may successfully use it on [...]

Case Presentation: A 37-year old woman with a past medical history of opioid use disorder (OUD) and hepatitis C was admitted to a tertiary care center for management of septic shock from necrotizing soft tissue infection secondary to injection drug use, requiring multiple operations with subsequent skin grafting. She reported using multiple grams of intravenous [...]

Background: Patients with opioid use disorder (OUD) are frequently hospitalized, however up to 25% of these encounters end in patient directed discharge (PDD), leading to interruptions in care, increased mortality, and higher hospital readmission rates.1-4 Receipt of medications for opioid use disorder (MOUD) has been shown to decrease odds of PDD.5 However, to date, less [...]