临床决策支持,以增加从住院患者设置中共同处方纳洛
Jacob A Lebin1, Kaitlin Mitchell2, Katy E Trinkley3,4
1Department of Emergency Medicine, University of Colorado, Aurora, CO, USA. jacob.lebin@cuanschutz.edu.
电子健康记录 (EHR) 集成的临床决策支持 (CDS) 工具增加了纳洛的联合处方,用于住院患者的高风险阿片类药物处方. 这种干预措施提高了患者的安全性,并降低了致命的阿片类药物过量服用风险.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 与阿片类药物处方同时处方纳洛对于降低致命过量风险至关重要.
- 纳洛联合处方在住院医疗机构的有限采用需要有效的干预措施.
- 临床决策支持 (CDS) 工具显示出希望,但需要更多来自住院护理的数据.
研究的目的:
- 评估EHR集成的CDS工具在提高纳洛联合处方率方面的有效性.
- 评估CDS对从住院护理中出院的高风险阿片类药物处方患者的影响.
主要方法:
- 采用观察性前后研究设计来评估嵌入EHR的CDS工具.
- 该研究包括从住院护理出院的成年患者,他们的处方是高风险的阿片类药物.
- 一个中断性CDS警报提供了一个单击选择纳洛联合处方,使用贝叶斯结构时间序列模型分析结果.
主要成果:
- CDS工具在6.36%的高风险出院阿片类药物处方中被触发.
- 在实施后,纳洛联合处方增加了每100个阿片类药物处方每周4.7个处方 (p=0.001).
- 该研究评估了有效性,患者覆盖范围,临床医生采用和实施忠诚度.
结论:
- 集成EHR的CDS工具可以显著增加内洛在住院患者的共同处方.
- 有针对性的,中断性的CDS警报有效地改善了阿片类药物安全措施.
- 这种干预表明了一种可扩展的方法,以提高高风险患者获得纳洛的机会.
更多相关视频
07:50A Method for Evaluating the Reinforcing Properties of Ethanol in Rats without Water Deprivation, Saccharin Fading or Extended Access Training
Published on: January 29, 2017
04:36Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
相关概念视频
Drug Delivery: Enteral Route
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Cardiopulmonary Resuscitation IV: Pharmacological Management
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Acute Coronary Syndrome IV: Interprofessional Care
Prescription, Nonprescription and Orphan Drugs
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
