对阿片类药物处方教育的机构课程:2017年至2022年的成果
Brendin R Beaulieu-Jones1, Margaret T Berrigan2, Kortney A Robinson2
1Department of Surgery, Beth Israel Deaconess Medical Center (BIDMC), Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
The Journal of surgical research
|November 11, 2023
概括
一个手术类阿片类药物处方教育课程显著提高了提供者的知识和舒适性. 这次年度培训强调了有效的教育举措在应对持续的阿片类药物流行病方面的价值.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
背景情况:
- 美国阿片类药物流行病在很大程度上是由处方阿片类药物推动的,特别是在手术后.
- 对于手术患者来说,教育医疗保健提供者安全的阿片类药物处方至关重要.
研究的目的:
- 评估年度阿片类药物处方教育课程对外科处方医生的知识和舒适性的影响.
- 评估简短的教育干预措施在改善阿片类药物处方实践中的有效性.
主要方法:
- 从2017年到2022年,每年提供75分钟的阿片类药物处方课程给新的外科处方医生.
- 该课程涵盖了疼痛管理,高风险患者,监测和法规.
- 对阿片类药物知识评估和自我报告的舒适度在课程前后进行了测量.
主要成果:
- 总共有197名处方医生完成了评估,显示中位数的知识得分从54.5%增加到63.6% (18.2%的相对增加).
- 自我报告的处方阿片类药物的舒适度从中位数增加到3到5 (P < 0.001).
- 在所有提供者级别中观察到知识和舒适度的增加,包括实习生和高级实践提供者.
结论:
- 年度课程有效地提高了有关阿片类药物处方的提供者知识和舒适度.
- 在新的外科处方者中,尽管意识增加,但仍然存在持续的知识和舒适度差距.
- 这项研究强调了简单,高效的教育计划在改善阿片类药物管理方面的价值.
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