实施阿片类安全仪表板和相关的初级保健临床医生的态度和使用
Anna Russell1, Mechelle Sanders2, Robert Fortuna3,4
1University of Rochester School of Medicine and Dentistry.
Journal of patient safety
|December 4, 2025
概括
阿片类药物安全仪表板帮助临床医生做出更安全的处方决定. 虽然有用,但了解临床医生的互动是有效实施和防止数据被误解的关键.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 阿片类药物处方安全性
背景情况:
- 初级保健医生在安全的阿片类药物处方方面面临挑战.
- 阿片类药物安全仪表板提供患者级数据和安全措施.
- 实施这些仪表板对于改善处方实践至关重要.
研究的目的:
- 描述在两个不同的初级保健环境中实施阿片类药物安全仪表板的经验.
- 了解临床医生对这些仪表板的使用,态度和看法.
主要方法:
- 两个初级保健计划,高地家庭医学 (学术住院) 和初级保健网络 (区域网络),实施了不同的阿片类药物安全仪表板.
- 在2023年对两项计划中的临床医生进行了一项调查,以评估仪表板的使用情况和感知.
主要成果:
- 81%的PCN临床医生和31%的HFM临床医生发现仪表板有用.
- 大多数临床医生使用仪表板做临床决策,包括处方鼻内纳洛.
- 根据仪表板数据,PCN临床医生报告了逐渐减少或停止阿片类药物/二甲处方.
结论:
- 片安全仪表板可以支持更安全的阿片类药物处方.
- 临床医生的参与和感知对于仪表板的有效性至关重要.
- 确保仪表板信息是可操作的,而不是被误解,对于成功实施至关重要.
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