急诊科医生对全州处方药监测计划的使用。
The Use of a Statewide Prescription Drug Monitoring Program by Emergency Department Physicians.
作者信息
Hernandez-Meier Jennifer L, Muscott Rachel, Zosel Amy
机构信息
Injury Research Center at the Medical College of Wisconsin (MCW), Milwaukee, Wisconsin.
Department of Emergency Medicine, Medical College of Wisconsin (MCW), Milwaukee, Wisconsin.
出版信息
WMJ. 2017 Jun;116(2):64-68.
BACKGROUND
Little is known about how emergency physicians have used Wisconsin's Prescription Drug Monitoring Program (PDMP).
OBJECTIVE
To characterize emergency physician knowledge and utilization of the program and how it modifies practice.
METHODS
Online survey data were collected 1 year after program implementation. Descriptive statistics were generated and qualitative responses were grouped by content.
RESULTS
Of the 63 respondents, 64.1% had used the program. Lack of a DEA number and knowledge about how to sign up were the most common barriers to registration. Over 97% of program users found it useful for confirming suspicion of drug abuse and 90% wrote fewer prescriptions after program implementation. Time constraints and the difficult log-in process were common barriers to use. More users than nonusers stated that their workplace was supportive of program use.
CONCLUSIONS
Although barriers exist, PDMP utilization appears useful to emergency physicians and associated with modifications to patient management.
背景
关于急诊医生如何使用威斯康星州的处方药监测计划（PDMP），目前了解甚少。
目的
描述急诊医生对该计划的了解和使用情况，以及它如何改变医疗实践。
方法
在该计划实施1年后收集在线调查数据。生成描述性统计数据，并按内容对定性回答进行分组。
结果
在63名受访者中，64.1%使用过该计划。缺乏药品管理局（DEA）编号以及不知道如何注册是注册最常见的障碍。超过97%的计划使用者认为该计划有助于确认药物滥用的怀疑，90%的使用者在计划实施后开具的处方减少。时间限制和登录过程困难是使用该计划的常见障碍。使用该计划的用户比未使用的用户更多地表示他们的工作场所支持使用该计划。
结论
尽管存在障碍，但PDMP的使用似乎对急诊医生有用，并与患者管理的改变相关。
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