LOUD in the ED 2025 Learning Session 1 Insights Report

This report offers practical takeaways for clinicians, leaders and improvement advisors focused on enhancing substance use care in acute care settings. It highlights both the complexity and the opportunity of improving OUD care in emergency departments, sharing lessons, successes and new ideas to support collective action and ongoing learning.

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About This Report

LOUD in the ED is designed for emergency department teams across BC to improve opioid use disorder (OUD) identification, therapeutic intervention and connection to follow-up, with the goal of reducing deaths from BC’s ongoing toxic drug crisis.

On April 30, 2025, teams from 15 sites representing all regional health authorities came together in the collaborative’s initial learning session to share strategies, explore challenges and learn from each other. This highly interactive session created space for open dialogue and inspiration, all aimed at strengthening OUD care in emergency departments.

This session is reminding me of why I do what I do.

LOUD in the ED 2025 Learning Session 1 Participant

What’s Inside the Report

The LOUD in the ED 2025 Learning Session 1 Insights Report captured key takeaways and practical ideas from the learning session using the Rapid Insight© approach.

Rapid Insight© was used to:

  • Capture current and emerging priorities and work underway
  • Identify common facilitators and barriers in substance use change management in EDs
  • Highlight what matters most to teams and communities
  • Act as a powerful tool and method for building a story that reflected their experience, both in session and within their EDs

The Insight team used sense-making to understand the emerging themes that demonstrated how participants wanted to move forward.

Key Themes Identified

The session helped us highlight the value of community and intentional connection, having dedicated time for improvement and leveraging work already underway to accelerate change in complex environments.  

By the end of the session, we recognized four emerging themes. Explore these themes and lessons in the report to inform team discussions, guide improvement projects or spark new ideas in your work environment.

Creating Safer Spaces and Culture Change

Streamlining Processes and Providing Clarity

Strengthening Co-Design and Connection Across the System

Improving and Supporting Team-Based Collaborative Approaches

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About the Rapid Insight© Approach

Rapid Insight© is an evidence-based approach, adapted from NHS Horizons, that transforms group dialogue into actionable knowledge and real-time feedback, helping teams solve complex problems and drive change.

Rapid Insight© Approach benefits:

  • Uses local knowledge, relationships and partnerships to drive progress
  • Builds momentum for change through highly engaging, inclusive methods
  • Helps surface shared priorities and actionable next steps
  • Develops leadership skills and supports values-based system leadership
  • Enables quick wins that build belief and shift teams from planning to action

Learn more about the approach here.

About LOUD in the ED

LOUD in the ED is a provincial collaborative led by Health Quality BC (HQBC) in partnership with Emergency Care BC and the BC Centre on Substance Use. This work is being done in collaboration with health authorities, with funding and support from the Ministry of Health through the Community Action Initiative. We would like to recognize all members of our Expert Group and participants of Phase 1 Working Groups in September – December 2024 whose contributions and perspectives are incorporated throughout the program materials. Their perspectives on receiving and delivering opioid use disorder care in EDs and other clinical settings across BC have been invaluable in shaping this program.

Learn more about LOUD in the ED here.

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Rapid Insight© 2022 by NHS Horizons is licensed under CC BY-NC-SA 4.0.

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LOUD in the ED 2025 Learning Session 1 Insights Report