标准化放电术后疼痛控制:一个质量改进项目
Kathyrn M Wheller1, Robert D Stewart1, Kristen L Breedlove1
1Department of Surgical Services, Akron Children's Hospital, Akron, OH, USA.
Cardiology in the young
|June 12, 2025
概括
对儿科心脏手术患者实施标准化阿片类药物处方指南显著减少了阿片类药物的使用,增加了无阿片类药物的出院,而不影响停留时间.
科学领域:
- 心脏病学 心脏病学
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 处方阿片类药物是目前阿片类药物流行病的一个关键因素.
- 心脏手术患者代表了一个可以优化阿片类药物处方的人群.
- 一家儿童医院发现需要改善阿片类药物处方做法.
研究的目的:
- 为手术后的心脏外科手术患者规范阿片类药物处方实践.
- 为了减少阿片类药物处方在释放这个患者群体.
- 改善儿童心脏外科手术中的疼痛管理策略.
主要方法:
- 一个多学科的团队使用了改善模型框架.
- 关键干预措施包括基于证据的处方指南,非阿片类药物疼痛管理和EHR整合.
- 收集的数据包括符合指导方针,吗啡等效剂量,无阿片类药物出院和停留时间.
主要成果:
- 准则的遵守率从24%增加到100%.
- 出院时的吗啡相当剂量显著下降,到2022年达到0.
- 无阿片类药物排放量增加,在2022年达到0%,而停留时间没有增加.
结论:
- 标准化,基于证据的指导方针有效地减少了儿童心脏手术中的阿片类药物处方.
- 使用非阿片类药物的增强疼痛管理和指导方针的整合对于成功至关重要.
- 这种方法改善了患者的治疗结果,并在地方一级解决了阿片类药物流行病.
相关概念视频
Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Appendicitis-II: Diagnostic Studies and Management
69
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
69
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
58
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
58
Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
Guidelines for Nursing Documentation I
1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K


