实施需要对采用进行评估:多模式疼痛治疗方案的教训
Jessica Belchos1, Erik W Streib2, Michelle Laughlin2
1Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana; Ascension St. Vincent Hospital, Indianapolis, Indiana.
The Journal of surgical research
|November 29, 2023
概括
尽管使用方便,但采用多模式疼痛疗法 (MMPR) 订单组的采用率很低 (16.2%). 敏捷实施确定了个人偏见和过度自信是MMPR在创伤护理中利用的主要障碍.
科学领域:
- 创伤外科 手术 创伤外科
- 疼痛管理 疼痛管理
- 医疗信息学 医疗信息学
背景情况:
- 多模式疼痛治疗方案 (MMPR) 是创伤患者的标准护理方案.
- 创伤服务中MMPR的实施方法需要进一步调查.
研究的目的:
- 评估在一级创伤中心采用MMPR订单的情况.
- 描述实施过程并确定MMPR订单集利用的障碍.
主要方法:
- 在一级创伤中心进行了一项混合方法研究.
- 从2021年7月到2022年2月的MMPR订单集利用率的回顾性评估.
- 敏捷实施方法与定量和定性数据收集,包括最终用户测试和调查.
主要成果:
- 只有16.2%的符合条件的创伤患者使用了MMPR订单集.
- 调查回复显示了易用性,对选择的渴望,教育不足和个人专业知识的主题.
- 发现的关键障碍是启发式分析和过度自信偏见.
结论:
- 尽管MMPR订单组是用户友好的,但其采用率很低.
- 敏捷实施促进了与个人偏见相关的障碍的识别.
- 解决偏见,改进启发式分析和加强教育对于临床决策支持工具的采用至关重要.
相关概念视频
Analgesia and Pain Management
632
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
632
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
Drug Dosage Regimen: Overview
3.6K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.6K
Opioid Analgesics: Synthetic and Semisynthetic Opioids
305
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
305
Types of Reports III: Telephone and Verbal Reports
747
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
747
Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574


