改善耳鼻喉外科手术后多模式止痛药的使用 - - 9000名患者的单一机构经验
Karolina A Plonowska-Hirschfeld1, Jasmeet Saroya1, Jose Herrera2
1Department of Otolaryngology-Head and Neck Surgery Washington University in St. Louis St. Louis Missouri USA.
OTO open
|April 8, 2025
概括
一项质量改善计划通过实施多式止痛药 (MMA) 和标准化指令,成功地减少了耳鼻喉外科手术后的阿片类药物处方. 患者对疼痛控制的满意度仍然很高,尽管阿片类药物使用减少.
科学领域:
- 提高质量 提高质量
- 疼痛管理 疼痛管理
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 耳鼻喉外科手术后的阿片类药物处方是常见的.
- 需要制定减少阿片类药物使用和改善疼痛管理的战略.
- 多模式止痛药 (MMA) 为阿片类药物提供了替代品.
研究的目的:
- 评估一种质量改善干预措施,以减少出院时的阿片类药物处方.
- 改善患者在耳鼻喉外科手术后获得多式止痛药 (MMA) 的机会.
主要方法:
- 纵向质量改善计划. 纵向质量改善计划.
- 对阿片类药物,乙氨基和NSAID释放处方的回顾性审查.
- 全部门研讨会,制定标准化的术后止痛药说明书.
- 关于疼痛控制满意度和阿片类药物使用的潜在患者调查.
主要成果:
- 阿片类药物处方从61.4%下降到46.8% (P < .00001).
- 乙氨基和NSAID的处方显著增加 (P < .00001).
- 患者对疼痛控制的满意度仍然很高,干预后接受阿片类药物的患者较少 (49.1% vs 76.6%,P = .007).
- 27%的处方阿片类药物的患者没有服用,23%的患者保存了未使用的阿片类药物.
结论:
- 标准化的出院说明有效地减少了耳鼻喉外科手术后的阿片类药物处方.
- 患者对疼痛管理的满意度保持不变.
- 很大一部分患者保存未使用的阿片类药物,突出显示了转移的潜力.
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