利用学习协作模式开发和试验质量措施,以改善紧急部门的阿片类药物处方
Kathryn F Hawk1, Scott G Weiner2, Craig Rothenberg1
1Department of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Annals of emergency medicine
|October 13, 2023
概括
美国急诊医生学院制定了质量措施,以改善急诊部门的阿片类药物处方. 370个EDs的初步数据显示,评估阿片类药物使用和患者安全的可行性.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 片类药物使用障碍是一个重大的公共卫生问题.
- 紧急诊所 (ED) 在管理疼痛和阿片类药物处方方面发挥着至关重要的作用.
- 美国紧急医生学院 (ACEP) 启动了紧急医疗质量网络 (E-QUAL) 片倡议,以解决这些问题.
研究的目的:
- 开发和评估在社区急诊室处方阿片类药物的质量措施的可行性.
- 促进基于证据的实践来管理患有阿片类药物使用障碍的患者.
- 为了减少与阿片类药物相关的危害,同时确保安全的止痛.
主要方法:
- 召集专家确定和设计阿片类药物处方措施.
- 收集了来自370个社区ED参与2019年E-QUAL合作的绩效数据.
- 评估了与阿片类药物管理,替代品,处方细节和共同处方相关的措施.
主要成果:
- 成功开发和实施了6项评估阿片类止痛药处方的潜在措施.
- 从社区ED的全国样本中收集初始绩效数据.
- 证明了在农村和社区ED环境中评估阿片类药物处方做法的可行性.
结论:
- 开发的措施为评估不同ED环境中的阿片类药物处方提供了一个框架.
- 这一举措是评估社区和农村急救部门阿片类药物处方质量的关键一步.
- 这些发现支持在全国范围内更广泛地实施针对ED患者阿片类药物管理的质量改善举措.
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