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.
Journal of addictions nursing
|August 27, 2025
概括
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.
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.
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