Jenkins B G, Tuffin P H R, Choo C L, Schug S A
Pharmacy Department, Royal Perth Hospital, Western Australia.
J Clin Pharm Ther. 2005 Dec;30(6):597-602. doi: 10.1111/j.1365-2710.2005.00690.x.
An audit of opioid prescribing in a large teaching hospital across all specialties was conducted to identify areas for improvement.
Opioid medications prescribed for the entire patient admission were recorded and assessed using quality statements.
Of 334 patients reviewed 209 (62.6%) were prescribed an opioid. Poly-prescribing of 'when required' (p.r.n.) opioids was frequent with 107 (51.2%) patients having more than one 'p.r.n.' opioid. Dosing intervals were too long for 146 (69.8%) patients leaving them at risk of breakthrough pain. The intramuscular route was prescribed for 100 (47.8%) patients, and 49 (23.4%) of prescriptions had an inappropriate variety of administration routes.
Although the criteria for assessing opioid prescribing were stringent the prescribing was sub-optimal. This survey will form the basis for future quality initiatives.
对一家大型教学医院所有专科的阿片类药物处方进行审核，以确定改进领域。
记录并使用质量声明评估整个患者住院期间开具的阿片类药物。
在334名接受审查的患者中，209名（62.6%）开具了阿片类药物。“必要时”（p.r.n.）阿片类药物的联合处方很常见，107名（51.2%）患者使用了不止一种“必要时”阿片类药物。146名（69.8%）患者的给药间隔时间过长，使他们面临爆发性疼痛的风险。100名（47.8%）患者的处方采用了肌肉注射途径，49份（23.4%）处方的给药途径种类不当。
尽管评估阿片类药物处方的标准很严格，但处方仍未达到最佳水平。这项调查将为未来的质量改进举措奠定基础。
