在一个大型学术医疗系统中,将患者偏好纳入必要时的疼痛指令
Meghan D McNulty1, Michael E Guerra1, Kristina Shvets1
1Yale New Haven Hospital, 20 York Street, New Haven, CT 06510, United States of America.
Exploratory research in clinical and social pharmacy
|September 29, 2025
概括
患者往往更喜欢比订购更低的止痛药剂量. 该项目将患者的偏好整合到电子健康记录中,改善疼痛管理和减少阿片类药物使用.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 以患者为中心的护理
- 药理学 药理学是指药理学的学科.
背景情况:
- 联合委员会调查发现,根据需要 (PRN) 止痛药的订购剂量和患者偏好的剂量之间存在差异.
- 这导致了耶鲁纽黑文卫生系统 (YNHHS) 内的药物管理挑战和潜在的护理延迟.
- 该倡议旨在使PRN止痛药的订单与患者的偏好保持一致,以改善护理并减少阿片类药物消费.
研究的目的:
- 将患者的偏好整合到电子健康记录 (EHR) 中,根据需要 (PRN) 订购止痛药.
- 改善患者疼痛的管理和评估,同时最大限度地降低风险,与联合委员会标准保持一致.
- 确保药物订单清晰,准确,并反映患者的需求,从而减少不必要的阿片类药物使用.
主要方法:
- 修改了现有的PRN止痛药订单和药物管理记录 (MAR).
- 更新了YNHHS疼痛评估和管理政策,以纳入患者的偏好.
- 为临床医生,护士和药房工作人员开发和传播教育材料和工作流程指导.
主要成果:
- 通过结合患者偏好选项,成功增强了根据需要的止痛药订单的利用率.
- 实施后从临床医生和护理人员获得了积极的反.
- 在处方和患者所需的止痛药疗程之间显示出更好的对齐.
结论:
- 大型学术卫生系统可以有效地将患者的偏好纳入必要时 (PRN) 止痛药订购流程.
- 该项目突出了复杂的医疗保健系统中以患者为中心的疼痛管理的成功模式.
- 实施导致患者满意度提高,药物使用量优化.
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