纳洛最佳实践建议在电子健康记录中实施
Jainaha K Srikumar1, Kristin Daniel, Alёna A Balasanova
1From the College of Medicine, University of Nebraska Medical Center, Omaha, NE (JKS); Department of Pharmaceutical and Nutrition Care, Nebraska Medicine, Omaha, NE (KD); and Department of Psychiatry, University of Nebraska Medical Center, Omaha, NE (AAB).
Journal of addiction medicine
|June 2, 2023
概括
实施电子健康记录警报显著增加了纳洛的共同处方和患者的处方,有助于减少阿片类药物过量危害. 这种干预措施有效地促进了人们获得这种重要药物的机会.
科学领域:
- 公共卫生 公共卫生
- 临床信息学 临床信息学
- 药理学 药理学是指药理学的学科.
背景情况:
- 过量服用阿片类药物的死亡是严重的公共卫生危机.
- 纳洛是逆转阿片类药物过量服用的关键降害工具.
- 需要有效的策略来增加纳洛的共同处方率.
研究的目的:
- 开发和实施电子健康记录 (EHR) 警报,以识别高风险阿片类药物过量服用患者.
- 增加纳洛对符合条件的患者的联合处方.
- 评估EHR警报对纳洛处方量,填充率和全州处方的影响.
主要方法:
- 根据州的阿片类药物安全倡议制定了一个EHR警报.
- 收集了纳洛处方和独特患者处方的数据,用于实施前和后的5个月.
- 使用统计测试分析了处方数据,填充率和全州分发数据.
主要成果:
- 警报实施后,每月纳洛处方增加了2144%.
- 纳洛处方填充率没有统计学意义上的变化.
- 全州唯一接受纳洛处置的患者增加了402.8%.
结论:
- 电子健康系统警报是增加纳洛联合处方的可行和有效工具.
- 实施的警报导致纳洛处方和患者获取的数量大幅增加.
- 研究结果支持在纳洛联合处方倡议中使用电子决策支持.
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