改善疼痛管理和手术后安全使用阿片类药物:基于DMAIC的质量干预
Zachary Fender1, Josh Bleicher1, Jordan E Johnson1
1Department of Surgery, University of Utah, Salt Lake City, UT, USA.
Surgery open science
|June 23, 2023
概括
实施美国外科医生学院手术后安全有效的疼痛控制 (ACS SEPCAS) 宣传册,改善了患者对安全阿片类药物储存,处置和过量识别的教育. 患者发现这本小册子对于术后康复非常有益.
科学领域:
- 疼痛管理 疼痛管理
- 外科教育的外科教育
- 公共卫生 公共卫生
背景情况:
- 多种模式的周围手术教育可以减少手术后的阿片类药物使用.
- 标准化的患者教育对于疼痛控制和满足至关重要.
- 美国外科医生学院 (ACS) 安全和有效的手术后疼痛控制 (SEPCAS) 宣传册为术后教育提供了一个框架.
研究的目的:
- 使用ACS SEPCAS小册子开发和实施标准化的外科手术期教育模式.
- 提高患者对阿片类药物使用,安全储存,处置和过量检测的了解.
- 评估教育干预对患者准备和满意度的影响.
主要方法:
- 使用定义,测量,分析,改进,控制 (DMAIC) 框架的质量改进项目.
- 在干预前和干预后进行了患者调查,以评估教育的充分性.
- 基于ACS SEPCAS小册子实施了一项多式联络教育干预.
主要成果:
- 干预后的患者报告说,在识别阿片类药物过量症状和安全使用药物方面,他们获得了更好的教育.
- 大多数接受SEPCAS小册子的患者发现它对康复有帮助.
- 患者建议这本小册子适用于所有手术患者.
结论:
- 该ACS SEPCAS小册子是教育患者安全阿片类药物管理的有效工具.
- 该小册子提高了患者对手术后疼痛和阿片类药物管理的准备.
- 患者对该小册子的接受是积极的,表明其作为教育资源的价值.
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