相关实验视频
Updated: Jun 8, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
改进使用电子医疗记录的通过皮肤注射芬太尼尔处方实践
Vandana Nagpal1,2, Emily Vlass1,2
1UMass Memorial Health Care, Worcester, Massachusetts, USA.
Journal of palliative medicine
|March 21, 2025
概括
实施电子医疗记录 (EMR) 算法显著减少了错误的透皮 (TD) 芬太尼尔订单. 这一改进通过标准化TD芬太尼的处方实践,提高了患者在疼痛管理方面的安全性.
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.
- 医疗信息学 医疗信息学
背景情况:
- 透皮 (TD) 芬太尼对治疗疼痛至关重要,但由于对其使用的理解不一致,因此存在安全问题.
- 对TD芬太尼的错误处方做法可能会危及患者的安全.
研究的目的:
- 加强通过皮肤 (TD) 处方芬太尼的做法.
- 通过优化电子医疗记录 (EMR) 来提高患者安全.
主要方法:
- 一次回顾性图表审查发现了TD芬太尼订单的问题.
- 根源原因分析为改进EMR排序算法的开发提供了信息.
- 药房教育伴随着EMR干预.
主要成果:
- 错误的TD芬太尼尔订单的百分比从干预后的42.5%下降到15.2%.
- 干预期为EMR订单实施后的五个月.
结论:
- 标准化的EMR订单集有效地改善了TD芬太尼的处方.
- 提供者教育与EMR工具相结合,提高了慢性疼痛管理的质量和安全性.
相关概念视频
Methods of Documentation II: POMR
886
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
886
Methods of Documentation VII: EMR
821
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
821
Guidelines and Strategies for Safe Computer Charting
768
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
768
Drug Delivery: Overview
270
The selection of a drug's delivery route depends upon its physicochemical properties, including lipid or water solubility and ionization, as well as the therapeutic requirement, such as immediate or sustained effect. These routes can be divided into three primary categories: enteral, parenteral, and topical.
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
270
Drug Delivery: Enteral Route
360
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
360
Drug Delivery: Miscellaneous Routes
296
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
296

