在创伤外科患者群体中,实施查阿片类药物滥用风险查工具的可行性
Amelia Baltes1, David Horton1, Colleen Trevino2
1Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Implementation research and practice
|February 7, 2024
概括
在创伤病房实施阿片类药物滥用查工具取得了成功. 关键的促进因素包括患者理解和减少员工负担,而障碍则涉及工作流集成和治疗指导. 建议侧重于EHR整合和基于证据的干预措施.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 创伤外科手术是什么
背景情况:
- 持续的阿片类药物危机需要新的查和预防策略.
- 心理健康诊断和作为一个手术患者或受伤幸存者被确定为阿片类药物滥用的危险因素.
- 这项研究在威斯康星州的四个创伤病房试行了一种新的阿片类药物风险查工具.
研究的目的:
- 调查创伤环境中新型阿片类药物风险查工具的实施过程.
- 确定在选工具的实施过程中遇到的促进者和障碍.
- 为优化将阿片类药物滥用查纳入临床工作流程提供建议.
主要方法:
- 在四个创伤场所实施6个月的实施期.
- 通过每月会议记录和计划,做,研究,行动 (PDSA) 表格收集数据.
- 使用实施研究综合框架 (CFIR) 对会议备忘录,PDSA表格和焦点组数据进行主题分析.
主要成果:
- 促进者包括确保患者的理解,尽量减少员工的工作量,以及员工的参与教育.
- 这些障碍包括基础设施的局限性,工作流集成的挑战,查工具的重叠以及缺乏治疗指导.
- 推的解决方案包括优化查时间,工作流程适应,电子健康记录集成和基于证据的治疗途径.
结论:
- 一个试点阿片类药物滥用查工具在威斯康星州的四个创伤中心成功实施.
- 创伤提供者认为该工具具有价值,但前提是采用工作流程和治疗整合建议.
- 未来的研究应该专注于细化风险因素和验证治疗反应的心理特征.
关键词:
实施结果的结果.这是一种阿片类阿片类药物.滥用阿片类药物 滥用阿片类药物的滥用"阿片类药物使用障碍"疼痛管理 疼痛管理预防性干预是预防性的干预.查检查 查检查 查检查 查检查手术 手术 手术 手术 手术 手术 手术一个创伤的创伤创伤.更多相关视频
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