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减少门诊内镜泌尿外科手术的术后阿片类药物:居民驱动的质量改善倡议

Vikram M Narayan^1,2, Giulia Lane^1,3, Shyam Sukumar^1,4

¹Department of Urology, University of Minnesota, Minneapolis, Minnesota.

Urology practice

|June 10, 2023

概括

在泌尿外科手术后减少阿片类药物处方显著减少了多余的药物,但没有影响患者的疼痛结果. 这项质量改进倡议突出了在当地减少阿片类药物可用性的潜力.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
公共卫生公共卫生
提高质量提高质量

背景情况:

在美国,阿片类药物依赖是主要的公共卫生危机.
手术后过剩的阿片类药物处方可能会加剧这个问题.
这项研究涉及对门诊泌尿外科手术的阿片类药物处方.

研究的目的:

在门诊泌尿外科手术中分析阿片类药物处方模式.
为了减少处方阿片类药物的数量.
在调整处方后监测患者的结果.

主要方法:

对接受门诊内分泌外科手术的患者进行了病历审查和电话调查.
评估处方与消费的阿片类药物数量 (吗啡毫克相当量).
监控了30天后的急诊室访问,再入院和与疼痛相关的电话.

主要成果:

平均阿片类药物处方减少了75.3% (从156.6降至38.6MME).
71%的患者报告说没有使用处方麻醉剂.
没有观察到ER访问,再入院或与疼痛相关的电话的显著变化.

结论:

居民主导的质量改善举措可以有效地减少泌尿病学中过剩的阿片类药物处方.
这些举措有助于减少当地麻醉品供应.
减少阿片类药物处方是可行的,而不会影响患者的疼痛管理.

关键词:

止痛药是一种止痛药.药物和麻醉药物管制是指对药物和麻醉药物进行控制.脏结石是什么意思脏结石是什么意思这是一种阿片类阿片类药物.质量改善质量改善尿路透镜检查尿路透镜检查

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