紧急情况部门布普伦诺芬 质量改善和紧急医生知识,态度和自我效能
Michelle L Myles1, Kelli Scott2, Hannah N Ziobrowski3
1Brown University, Alpert Medical School, Department of Emergency Medicine, Providence, Rhode Island.
在急诊室 (ED) 实施质量改善倡议增加了对阿片类药物使用障碍的布普伦诺芬处方. 医生的信心和知识的增强是这一改善的关键因素.
科学领域:
- 紧急医疗 紧急医疗
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 布普伦诺芬是一种关键的,基于证据的治疗阿片类药物使用障碍 (OUD).
- 它在急救部门 (ED) 的使用仍然不够理想.
- 质量改进 (QI) 计划可以解决布普伦诺芬处方的障碍.
研究的目的:
- 评估基于ED的QI倡议对紧急医生的知识,信心和自我有效性对布普伦诺芬处方的影响.
- 评估对有物质使用障碍的患者态度的变化.
- 为了确定与增加布普伦诺芬处方后倡议相关的因素.
主要方法:
- 在四个新英格兰急救中心,在QI倡议之前和之后,对急救医生进行了一项匿名在线调查.
- 调查评估了医生的信心,知识,自我效能和态度,使用利克特尺度和验证问题.
- 干预前后的数据使用t测试进行了比较,后勤回归分析了处方预测因素.
主要成果:
- 医生的信心从3.4显著增加到3.9 (p < 0.01).
- 知识分数从1.4提高到了1.7 (p < 0.01).
- 增加的信心与布普伦诺芬处方的更高几率有关 (OR 4.4).
结论:
- 该QI倡议成功地增加了ED中的布普伦诺芬处方.
- 提高医生的信心和知识是关键的结果.
- 未来的布普伦诺芬实施策略应该优先提高医生信心.
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