紧急情况部门阿片类药物替代方案的结果 在安全网医院系统中实施的计划
Magda Montague1, Charlotte Hopson1, Claire Layton2,3
1Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, 655 West 8th Street, Jacksonville, FL, 32209, USA.
BMC emergency medicine
|January 8, 2025
概括
在PAMI-ED ALT计划减少了阿片类药物的使用和处方疼痛条件在急诊室 (ED). 这一举措还减少了住院和30天的ED返回,促进了非阿片类药物疼痛管理.
科学领域:
- 紧急医疗 紧急医疗
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 阿片类药物流行需要多式联络和非阿片类药物疼痛管理策略.
- PAMI-ED ALT计划旨在通过电子健康记录 (EHR) 订单小组和患者/临床医生教育,减少急诊部 (ED) 的阿片类药物使用.
- 重点关注阿片类药物替代品,包括非药物干预措施,至关重要.
研究的目的:
- 为了比较EP患者在PAMI-ED ALT计划实施之前和之后使用的阿片类和非阿片类止痛药.
- 评估针对性疼痛群体的30天ED全因复发和住院病例的变化.
- 评估阿片类药物替代方案在安全网医院环境中的影响.
主要方法:
- 收集了人口统计数据,止痛药的使用情况,住院情况,30天的ED回报率和疼痛评分.
- 计划前执行期 (2019年1月至2020年3月) 与计划后执行期 (2021年1月至2023年3月) 进行了比较.
- 分析包括综合ED数据和特定疼痛群体 (,头痛,腰部,肌肉骨疼痛).
主要成果:
- 疼痛管理订单面板的使用在实施后增加.
- 对大多数目标疼痛条件和整个ED患者群体的阿片类药物管理和处方减少.
- 除痛外,所有疾病的阿片类药物替代使用增加;特定疼痛组的住院和30天的ED回报显著下降.
结论:
- PAMI-ED ALT计划成功地将ED的疼痛管理实践转向了非阿片类药物替代品.
- 在一家为弱势群体服务的安全网医院实施了积极的结果.
- 该计划显示了减少ED复发和住院的潜力,解决了关键的公共卫生需求.
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