快速评估框架的开发和实施以及阿片类药物优化等级止痛药的订单
Marilyn Bazinski1, Catherine Lau2, Brooke Clemons1
1Department of Nursing, UCSF Health, San Francisco, California.
一个新的阿片类药物优化项目成功地使用整体疼痛评估框架整合了非阿片类药物,阿片类药物和辅助止痛药. 很高的处方遵守和没有不良影响证明了该项目的项目.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 医疗保健政策 医疗保健政策
背景情况:
- 解决阿片类药物流行需要改变止痛药的处方和管理.
- 一个四级护理医疗中心试图改善疼痛管理实践.
研究的目的:
- 用整体疼痛评估框架描述一个项目的开发和实施.
- 通过新的订单集指导非阿片类药物,阿片类药物和辅助止痛药的整合.
主要方法:
- 一个跨学科团队更新了疼痛评估和阿片类药物管理政策.
- 开发了新的止痛药订单集,并集成到电子健康记录中.
- 提供了临床医生,患者和护理人员的教育.
主要成果:
- 处方者对疼痛命令集的遵守率在80%至90%之间.
- 实施后没有报告任何不良影响.
- 持续的评估正在为政策和程序的优化提供信息.
结论:
- 该阿片类药物优化项目实现了对分层,多模式止痛药处方方法的高度坚持.
- 未来的评估将评估这种实践变化的好处和挑战.
- 将开发系统来监测疼痛顺序和疼痛管理干预措施的遵守.
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