Sharpe Potter Jennifer, Bebarta Vikhyat S, Marino Elise N, Ramos Rosemarie G, Turner Barbara J
The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234.
Mil Med. 2014 May;179(5):553-8. doi: 10.7205/MILMED-D-13-00109.
Opioid analgesics misuse is a significant military health concern recognized as a priority issue by military leadership. Opioids are among those most commonly prescribed medications in the military for pain management. The military has implemented opioid risk mitigation strategies, including the Sole Provider Program and the Controlled Drug Management Analysis and Reporting Tool, which are used to identify and monitor for risk and misuse. However, there are substantial opportunities to build on these existing systems to better ensure safer opioid prescribing and monitor for misuse. Opioid risk mitigation strategies implemented by the civilian sector include establishing clinical guidelines for opioid prescribing and prescription monitoring programs. These strategies may help to inform opioid risk mitigation in the military health system. Reducing the risk of opioid misuse and improving quality of care for our Warfighters is necessary. This must be done through evidence-based approaches with an investment in research to improve patient care and prevent opioid misuse as well as its sequelae.
阿片类镇痛药的滥用是一个重大的军事健康问题，被军事领导层视为优先事项。阿片类药物是军队中最常用于疼痛管理的处方药之一。军队已实施阿片类药物风险缓解策略，包括单一供应计划和受控药物管理分析与报告工具，用于识别和监测风险及滥用情况。然而，在这些现有系统的基础上还有很大的改进空间，以更好地确保阿片类药物的安全处方并监测滥用情况。民用部门实施的阿片类药物风险缓解策略包括制定阿片类药物处方临床指南和处方监测计划。这些策略可能有助于为军事医疗系统中的阿片类药物风险缓解提供参考。降低阿片类药物滥用风险并提高我们军人的护理质量是必要的。这必须通过基于证据的方法来实现，同时投入研究以改善患者护理并预防阿片类药物滥用及其后遗症。
