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  1. Article ; Online: Does targeted temperature management improve neurologic outcomes in patients with nonshockable rhythms?

    Gossack-Keenan, Kira / Moe, Jessica

    CJEM

    2021  Volume 23, Issue 2, Page(s) 166–168

    MeSH term(s) Humans ; Hypothermia, Induced ; Out-of-Hospital Cardiac Arrest/therapy
    Language English
    Publishing date 2021-02-09
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00088-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Emergency department buprenorphine/naloxone: What we can achieve with system-level support and local champions.

    Moe, Jessica / Buxton, Jane A

    CJEM

    2021  Volume 22, Issue 6, Page(s) 735–737

    MeSH term(s) Buprenorphine, Naloxone Drug Combination ; Emergency Service, Hospital ; Humans ; Opioid-Related Disorders
    Chemical Substances Buprenorphine, Naloxone Drug Combination
    Language English
    Publishing date 2021-01-12
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.470
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  3. Article: Don't forget our dual public health crises.

    Moe, Jessica / Buxton, Jane A

    CJEM

    2020  Volume 22, Issue 4, Page(s) E8

    MeSH term(s) Betacoronavirus ; British Columbia/epidemiology ; COVID-19 ; Coronavirus Infections/epidemiology ; Harm Reduction ; Humans ; Opioid-Related Disorders/epidemiology ; Opioid-Related Disorders/therapy ; Pandemics ; Physician's Role ; Pneumonia, Viral/epidemiology ; Public Health ; SARS-CoV-2 ; Vulnerable Populations
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country England
    Document type Letter
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2020.369
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Timing of endoscopy for acute upper gastrointestinal bleeding: journal club review.

    Guy, Andrew / Eppler, Kate / Moe, Jessica

    CJEM

    2021  Volume 24, Issue 1, Page(s) 20–22

    MeSH term(s) Acute Disease ; Endoscopy, Gastrointestinal ; Gastrointestinal Hemorrhage/diagnosis ; Gastrointestinal Hemorrhage/therapy ; Humans
    Language English
    Publishing date 2021-11-25
    Publishing country England
    Document type Editorial ; Comment
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00233-5
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  6. Article ; Online: Feeling safer: effectiveness, feasibility, and acceptability of continuous pulse oximetry for people who smoke opioids at overdose prevention services in British Columbia, Canada.

    Moe, Jessica / Chavez, Tamara / Marr, Charotte / Cameron, Fred / Feldman-Kiss, Damian / Wang, Yueqiao Elle / Xavier, Jessica C / Mamdani, Zahra / Purssell, Roy A / Salmon, Amy / Buxton, Jane A

    Harm reduction journal

    2024  Volume 21, Issue 1, Page(s) 45

    Abstract: Background: Smoking is the most common mode of unregulated opioid consumption overall and implicated in fatal overdoses in British Columbia (BC). In part, perception of decreased risk (e.g., fewer who smoke carry naloxone kits) and limited smoking- ... ...

    Abstract Background: Smoking is the most common mode of unregulated opioid consumption overall and implicated in fatal overdoses in British Columbia (BC). In part, perception of decreased risk (e.g., fewer who smoke carry naloxone kits) and limited smoking-specific harm reduction services contribute to overdose deaths. Overdose prevention services (OPS) offer supervised settings for drug use. Continuous pulse oximetry, common in acute care, allows real-time, remote oxygen monitoring. We evaluated the effectiveness of a novel continuous pulse oximetry protocol aimed at allowing physical distancing (as required by COVID-19, secluded spaces, and to avoid staff exposure to vaporized opioids), its feasibility, and acceptability at OPS for people who smoke opioids.
    Methods: This was a mixed methods survey study. We developed a continuous pulse oximetry protocol in collaboration with clinical experts and people with lived/living experience of substance use. We implemented our protocol from March to August 2021 at four OPS in BC permitting smoking. We included adults (≥ 18 years) presenting to OPS to smoke opioids. Peer researchers collected demographic, health, and substance use information, and conducted structured observations. OPS clients participating in our study, OPS staff, and peer researchers completed post-monitoring surveys. We analyzed responses using a thematic inductive approach and validated themes with peer researchers.
    Results: We included 599 smoking events. OPS clients participating in our study had a mean age of 38.5 years; 73% were male. Most (98%) reported using "down", heroin, or fentanyl; 48% concurrently used other substances (32% of whom reported stimulants); 76% reported smoking alone in the last 3 days; and 36% reported an overdose while smoking. Respondents reported that the protocol facilitated physical distancing, was easy to use, high satisfaction, improved confidence, improved sense of safety, and that they would use it again.
    Conclusions: Continuous pulse oximetry allowed safe physical distancing, was feasible, and acceptable in monitoring people who smoke opioids at OPS.
    MeSH term(s) Adult ; Male ; Humans ; Female ; Analgesics, Opioid/therapeutic use ; British Columbia ; Feasibility Studies ; Drug Overdose/prevention & control ; Drug Overdose/drug therapy ; Substance-Related Disorders/drug therapy ; Oximetry ; Smoking
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2024-02-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2146691-9
    ISSN 1477-7517 ; 1477-7517
    ISSN (online) 1477-7517
    ISSN 1477-7517
    DOI 10.1186/s12954-024-00963-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Healthcare provider perspectives on emergency department-initiated buprenorphine/naloxone: a qualitative study.

    Badke, Katherin / Small, Serena S / Pratt, Megan / Lockington, Julie / Gurney, Lara / Kestler, Andrew / Moe, Jessica

    BMC health services research

    2024  Volume 24, Issue 1, Page(s) 211

    Abstract: Background: Take-home buprenorphine/naloxone is an effective method of initiating opioid agonist therapy in the Emergency Department (ED) that requires ED healthcare worker buy-in for large-scale implementation. We aimed to investigate healthcare ... ...

    Abstract Background: Take-home buprenorphine/naloxone is an effective method of initiating opioid agonist therapy in the Emergency Department (ED) that requires ED healthcare worker buy-in for large-scale implementation. We aimed to investigate healthcare workers perceptions of ED take-home buprenorphine/naloxone, as well as barriers and facilitators from an ED healthcare worker perspective.
    Methods: In the context of a take-home buprenorphine/naloxone feasibility study at a tertiary care teaching hospital we conducted a descriptive qualitative study. We conducted one-on-one in person or telephone interviews and focus groups with ED healthcare workers who cared for patients given take-home buprenorphine/naloxone in the feasibility study at Vancouver General Hospital from July 2019 to March 2020. We conducted 37 healthcare worker interviews from December 2019 to July 2020. We audio recorded interviews and focus groups and transcribed them verbatim. We completed interviews until we reached thematic saturation.
    Data analysis: We inductively coded a sample of transcripts to generate a provisional coding structure and to identify emerging themes, which were reviewed by our multidisciplinary team. We then used the final coding structure to analyze the transcripts. We present our findings descriptively.
    Results: Participants identified a number of context-specific facilitators and barriers to take-home buprenorphine/naloxone provision in the ED. Participants highlighted ED conditions having either facilitative or prohibitive effects: provision of buprenorphine/naloxone was feasible when ED volume was low and space was available but became less so as ED volume increased and space decreased. Similarly, participants noted that patient-related factors could have a facilitative or prohibitive effect, such as willingness to wait (willing to stay in the ED for study-related activities and buprenorphine/naloxone initiation activities), receptiveness to buprenorphine/naloxone, and comprehension of the instructions. As for staff-related factors, time was identified as a consistent barrier. Time included time available and time required to initiate buprenorphine/naloxone (including time building rapport). Healthcare worker familiarity with buprenorphine/naloxone was noted as either a facilitating factor or a barrier, and healthcare workers indicated that ongoing training would have been advantageous. Many healthcare workers identified that the ED is an important first point of contact for the target patient population.
    Conclusion: Integrating a buprenorphine/naloxone program into ED care requires organizational supports (e.g., for managing buprenorphine/naloxone within limitations of ED volume, space, and time), and ongoing education of healthcare workers to minimize identified barriers.
    MeSH term(s) Humans ; Narcotic Antagonists/therapeutic use ; Opioid-Related Disorders/epidemiology ; Emergency Service, Hospital ; Health Personnel ; Buprenorphine/therapeutic use ; Naloxone/therapeutic use
    Chemical Substances Narcotic Antagonists ; Buprenorphine (40D3SCR4GZ) ; Naloxone (36B82AMQ7N)
    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-023-10271-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Impact of a Primary Care After-Hours Clinic on Avoidable Emergency Department Visits and Costs.

    Moe, Jessica / Oland, Ryan / Moe, Grace

    Healthcare quarterly (Toronto, Ont.)

    2019  Volume 22, Issue 1, Page(s) 42–47

    Abstract: Objectives: After-hours clinics (AHCs) have been identified as a means to improve primary care access. The study objective was to evaluate the impact of AHC intervention on avoided emergency department (ED) visits and cost savings. ...

    Abstract Objectives: After-hours clinics (AHCs) have been identified as a means to improve primary care access. The study objective was to evaluate the impact of AHC intervention on avoided emergency department (ED) visits and cost savings.
    MeSH term(s) After-Hours Care ; Alberta ; Ambulatory Care/organization & administration ; Ambulatory Care/statistics & numerical data ; Cost Savings ; Emergency Service, Hospital/economics ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Male ; Primary Health Care/organization & administration ; Primary Health Care/statistics & numerical data ; Surveys and Questionnaires
    Language English
    Publishing date 2019-06-27
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2019.25837
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Correction to: Prevention of alcohol withdrawal seizure recurrence and treatment of other alcohol withdrawal symptoms in the emergency department: a rapid review.

    Koh, Justin Jek-Kahn / Malczewska, Madeline / Doyle-Waters, Mary M / Moe, Jessica

    BMC emergency medicine

    2022  Volume 22, Issue 1, Page(s) 17

    Language English
    Publishing date 2022-01-31
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2050431-7
    ISSN 1471-227X ; 1471-227X
    ISSN (online) 1471-227X
    ISSN 1471-227X
    DOI 10.1186/s12873-022-00572-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Rising rates of infective endocarditis in North America: An urgent need for attention to the rapidly changing unregulated drug supply.

    Palis, Heather / Barocas, Joshua A / Moe, Jessica / Scow, Marnie / Sedgemore, Kali-Olt / Slaunwhite, Amanda K / Buxton, Jane A

    The International journal on drug policy

    2023  Volume 118, Page(s) 104110

    MeSH term(s) Humans ; Endocarditis, Bacterial ; Endocarditis ; North America/epidemiology
    Language English
    Publishing date 2023-06-28
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2010000-0
    ISSN 1873-4758 ; 0955-3959
    ISSN (online) 1873-4758
    ISSN 0955-3959
    DOI 10.1016/j.drugpo.2023.104110
    Database MEDical Literature Analysis and Retrieval System OnLINE

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