LOUD in the ED

Loud in the ED

LOUD in the ED

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The Learning about Opioid Use Disorder in the Emergency Department (LOUD in the ED) Collaborative is a provincial quality improvement initiative focused on ED care for people who use opioids.

LOUD in the ED is an initiative lead by the Council in partnership with the Overdose Emergency Response Centre and the BC Center on Substance Use to shift how emergency departments care for people who use opioids.

This virtual Action Series will include a combination of virtual learning, coaching, networking and local improvement actions. Twenty-five teams from across the province will engage in learning and application of change ideas related to clinical practice, education, person- and provider-centred care and connections to the community. Participating teams will also engage with each other to share new learning and insights from their local improvement work.

LOUD in the ED Resource Page

Action Period 1

Learning Session 1: Recommended Clinical Decision Support Tuesday, October 6 @ 0800-1130
Coaching Call: Case Study Wednesday, October 21 @ 1000-1100
Coaching Call: Pharmacy & Microdosing Wednesday, October 28 @ 1330-1430

Action Period 2

Learning Session 2: Clinical Education & Strategies Thursday, November 5 @ 1100-1200
Coaching Call: Education Strategies Monday, November 16 @ 1200-1300
Coaching Call: PPO Case Study Wednesday, November 24 @ 1000-1100

Action Period 3

Learning Session 3: Person- and Provider-Centred Care Tuesday, December 1 @ 1200-1300
Coaching Call: Case Study – EQUIP in Action Wednesday, December 9 @ 1500-1600
Coaching Call: Communication & Community Prescribing Tuesday, December 15 @ 1400-1500

Action Period 4

Learning Session 4: Connection Continuum Thursday, January 14 @ 0800-1130
Coaching Call: Remote/Rural versus Urban Perspectives on Transitions of Care Thursday, January 28 @ 1200-1300

Action Period 5

Wrap Up & Celebration Wednesday, February 10 @ 1200-1300


Read the full guide on Funding for Team Participation.

Staff Payment

Physician Payment

Frequently Asked Questions

LOUD in the ED aims to improve the experience of OUD care for people and providers, and to reduce the morbidity and mortality for people with OUD in the ED by improving access to evidence-informed care. This includes access to buprenorphine-naloxone (Suboxone®).

Twenty-one percent of people with OUD have their first point of contact with the health care system in the ED – there is never a second chance to make a first impression. The ED setting provides a unique opportunity to connect with people who use drugs and intervene early. Your ED team is likely already experiencing the effects of OUD on a daily basis and this initiative will support you to provide evidence-based, quality care.

Applying best practice for people with OUD in the ED improves patient care and has the potential to reduce length of stay, readmission rates, and workload and burnout for staff.

Teams benefit from focused support, the opportunity to collaborate with, and learn from, other teams from across the province, and quality improvement training that can be applied to all areas of care you provide.

The LOUD in the ED Action Series will combine opportunities for learning and networking with opportunities to apply change ideas at local sites. This will look like:

  • Five interactive webinars to teach and highlight tools for improving care in your ED;
  • Action periods following each webinar during which your team works together to explore application of the new tools and translate ideas into practice;
  • Coaching calls to support your team in your improvement efforts.

PWLLE are integral members and leaders in both the planning and action stages of the collaborative. Some of the faculty members are PWLLE, and additional PWLLE are being engaged in the development of resources and education. Participating teams are encouraged to have a PWLLE as part of their core team membership. More information on how to recruit and support PWLLE on your team will be provided in the coming weeks.

Sites participating in LOUD in the ED will form interdisciplinary teams. These teams will identify goals and strategies specific to improving OUD care in their local ED, including developing connections to the community. Teams will support practice change, measure and evaluate their success and share their experience with others across the province. Teams will be expected to provide regular reporting as a condition of participating, but measurements will be kept as simple as possible to avoid extra burden.

Team members should plan to:

  • Participate in a one-hour webinars each month (note that all webinars will be recorded to facilitate easy referencing and various shift schedules.).
  • Engage in team meetings and action period work at their site;
  • Connect with experts and fellow emergency department teams across the province to share learning; and
  • Collect data to monitor and evaluate team progress.

This project is focused on learning and improving OUD care in the ED. This means that some teams will be supported in initiating the use of buprenorphine-naloxone (Suboxone®) in the ED, while other teams will be working on improving their already existing buprenorphine-naloxone (Suboxone®) care.

Sign up for the LOUD in the ED Newsletter

Fill out the form below to learn more as a LOUD in the ED supporter. You will receive a (typically) monthly newsletter that originates from our provider, CyberImpact, and you can unsubscribe at any time. Questions? Contact us at loud@staging.bcpsqc.ca
  • Check the box to stay informed about our work, events and learning opportunities. You’ll receive (typically) bi-weekly newsletters that originate from our provider, CyberImpact, and you can unsubscribe at any time. Questions? Contact us at info@staging.bcpsqc.ca.
The BC Patient Safety & Quality Council will collect personal information under section 26 (c) of the Freedom of Information and Protection of Privacy Act for the purposes of distributing newsletters. If you have any questions about the collection of your personal information please contact: Kevin Smith at 604.668.8213.

Key Contact

Kate Harris
Leader, Health System Improvement