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134 Development of an evidence-based safer opioid prescribing toolkit for clinical care
  1. E Losman1,2,
  2. Q Ngo1,2,
  3. A Rooker1,2,
  4. J Roche1,2,
  5. J DeLaCruz3,
  6. A Moore3,
  7. MA Walton1,4,5,
  8. R Cunningham1,2,6,
  9. PM Carter1,2,6
  1. 1Injury Prevention Center, University of Michigan
  2. 2Department of Emergency Medicine, School of Medicine, University of Michigan
  3. 3Michigan Department of Health and Human Services, Division of Injury Prevention
  4. 4Department of Psychiatry, School of Medicine, University of Michigan
  5. 5Addiction Center, University of Michigan
  6. 6Department of Health Behavior/Health Education, School of Public Health, University of Michigan


Statement-of-Purpose Despite a 30% reduction nationwide in new opioid prescriptions since 2012, prescription opioid overprescribing, as well as opioid misuse and overdose remain significant U.S. public health issues. To address a deficit in educational resources/tools for clinical providers and their patients, the Injury Prevention Center (UM-IPC), in partnership with the Department of Health and Human Services (MDHHS), created the Michigan Safer Opioid Prescribing Toolkit – a comprehensive, evidence-based, on-line resource.

Methods/Approach A needs assessment was conducted, identifying knowledge/skills gaps among primary care providers across the state. Utilizing results, a comprehensive review of publicly available opioid prescribing resources and systematic literature review to identify up-to-date recommendations was conducted in key areas. Provider- and patient-focused educational content and resources were identified/curated from existing sources or newly developed for the toolkit. Resources were reviewed by expert researchers/clinicians for accuracy and by practicing primary care clinicians for usability and applicability/relevance.

Results Toolkit resources were developed across seven domains, including background resources on pain and pain management (managing acute/chronic pain, reducing stigma), management strategies for chronic opioid use and opioid use disorders (screening tools, naloxone, medication-assisted treatment), non-opioid/non-pharmacological pain management, opioid pain management (prescribing/tapering guidelines), prescribing laws (PDMPs, legal resources), just-in-time resources (clinical decision flowcharts, assessment tools, safe storage/safe disposal), and special populations (adolescents, LGBTQ, pregnant women, veterans, etc.). In the first two weeks since the November 2019 launch (, website reach has included 1,846 unique visitors, suggesting high engagement with toolkit content.

Conclusions Development/dissemination of a just-in-time toolkit to guide evidence-based primary care pain management (i.e., safer opioid prescribing), harm reduction, and opioid use disorder treatment/linkage to care has potential for broad public health and clinical impact in addressing the opioid epidemic.

Significance/Contributions to Injury/Violence Prevention This toolkit is one of the first fully online, comprehensive, evidence-based clinical resources to address the opioid epidemic.

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