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实施住院患者阿片类药物戒断查途径的质量改进试点

Cherie Avants1, Carolyn Huffman2, Rachel Graham3

  • 1Cherie Avants, DNP, APRN, NP, PMGT-BC, AP-PMN, Atrium Health Wake Forest Baptist, Winston Salem, North Carolina, and Duke University School of Nursing, Durham, North Carolina.

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使用临床阿片类药物戒断量表 (COWS) 的质量改善方法显著提高了阿片类药物戒断患者的查率. 这一举措减少了违背医疗建议的住院和出院,改善了患者的护理.

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临床阿片类药物戒断量表 (COWS)护士驱动的查吸食阿片类药物

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科学领域:

  • 改善医疗保健的质量
  • 临床实践指南
  • 患者的结果

背景情况:

  • 医院的阿片类药物戒断查通常依赖于主观测量.
  • 临床阿片类药物戒断量表 (COWS) 已得到验证,但在住院患者中未得到充分利用.
  • 改善住院阿片类药物戒断管理对于患者安全和有效治疗至关重要.

研究的目的:

  • 加强对阿片类药物戒断症状的住院查.
  • 增加在医院使用临床阿片类药物戒断量表 (COWS).
  • 在住院期间改善患有阿片类药物戒断风险的患者的治疗结果.

主要方法:

  • 使用计划-做-研究-行动循环的前后测试设计.
  • 第一个阶段:为护士和提供者提供2周的阿片类药物戒断和COWS教育计划.
  • 第二阶段:实施12周的阿片类药物戒断查途径,并进行COWS评估和审计.

主要成果:

  • 非法药物使用查率和COWS评估显著增加.
  • 教育课程的完成率很高.
  • 与医疗咨询率和平均住院时间相比,

结论:

  • 实施教育计划和查途径改善了阿片类药物使用查.
  • 在医疗保健组织中增加使用COWS评估.
  • 质量改善举措可以有效提高住院患者的阿片类药物戒断管理.