Khidir Hazar, Weiner Scott G
Harvard Medical School, Boston, Massachusetts.
Harvard Medical School, Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
West J Emerg Med. 2016 Nov;17(6):686-689. doi: 10.5811/westjem.2016.8.31204. Epub 2016 Oct 3.
Pain is the most common complaint in the emergency department (ED), and emergency physicians face unique challenges in making opioid-related treatment decisions. Medical students and residents experience significant variation in the quality of education they receive both about opioid prescribing as well as substance-use detection and intervention in the ED. To achieve a better standard of education, clinical educators will need to (a) develop a clearer understanding of the risk for aberrant opioid prescribing in the ED, (b) recognize prescribing bias and promote uptake of evidence-based opioid prescribing guidelines in their EDs, and
疼痛是急诊科最常见的主诉,急诊医生在做出与阿片类药物相关的治疗决策时面临独特挑战。医学生和住院医师在接受有关阿片类药物处方以及急诊科药物使用检测与干预方面的教育质量存在显著差异。为了达到更高的教育标准,临床教育工作者需要:(a)更清楚地了解急诊科异常阿片类药物处方的风险;(b)认识到处方偏见,并在其所在的急诊科推广采用基于证据的阿片类药物处方指南,并且