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减少小儿瘤切除术后的阿片类药物处方:一种质量改善倡议
Shaunak N Amin1, Trey Thompson2, Xing Wang3
1Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA.
概括
减少桃体切除术后的阿片类药物处方安全降低了43%的氧化剂量,但没有影响患者的治疗结果. 这种负责任的阿片类药物管理通过降低处方风险来改善护理.
科学领域:
- 儿科手术 儿科手术
- 疼痛管理 疼痛管理
- 提高质量 提高质量
背景情况:
- 桃体切除术后的疼痛是一种常见的外科病态.
- 阿片类药物经常被使用,但会带来风险,如呼吸抑制和滥用.
- 负责任的阿片类药物管理对于处方外科医生至关重要.
研究的目的:
- 评估降低阿片类药物处方剂量对桃体切除术后患者体验的影响.
- 评估是否有意减少剂量会影响术后疼痛管理和患者的治疗结果.
主要方法:
- 一个质量改善计划审查了桃体切除术后的阿片类药物处方.
- 干预措施包括外科医生教育和标准化的7剂量氧化协议.
- 在三个时期内追踪了处方习惯,补充剂,急诊室访问和再接收.
主要成果:
- 在两个计划-做-研究-行动 (PDSA) 周期中,每位患者处方的初始氧化剂量的平均数量显著下降了43%.
- 没有观察到补充请求,七天的急诊室访问或再入院率的显著变化.
结论:
- 提供者教育和标准化的协议可以安全地减少桃体切除术后的阿片类药物处方.
- 这种阿片类药物管理方法并没有对患者的治疗结果产生负面影响.
- 进一步的PDSA周期可能会探索更低的阿片类药物处方量.
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