Suppr超能文献

降低急诊医学中的阿片类药物处方率。

Reducing Opioid Prescribing Rates in Emergency Medicine.

作者信息

Guarisco Joseph, Salup Adam

机构信息

Department of Emergency Medicine, Ochsner Clinic Foundation, New Orleans, LA.

The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.

出版信息

Ochsner J. 2018 Spring;18(1):42-45.

Abstract

BACKGROUND

Pain management is one of the most common reasons patients visit the emergency department. Understanding the contributions of emergency medicine-and specifically Ochsner Health System's emergency providers-to the opioid crisis is important. Benchmark prescribing data indicated that Ochsner Health System emergency medicine providers' opioid prescription rates were significantly higher than the national average in emergency medicine.

METHODS

Data relevant to visit and opioid prescription counts were extracted from the organization's electronic health record system. Opioid prescription rates were calculated for each provider. A data transparency project was initiated in which provider opioid prescription rates were unblinded and distributed among the provider group.

RESULTS

Opioid prescription rates declined in aggregate for the emergency services from 22% to 14% during the 1-year project timeline. Some physicians demonstrated a 70% reduction in prescription rates. Importantly, patient satisfaction scores were not negatively impacted by declining opioid prescription rates.

CONCLUSION

Provider performance transparency using unblinded and transparent data analytics can efficiently and significantly alter provider practice.

摘要

背景

疼痛管理是患者前往急诊科就诊的最常见原因之一。了解急诊医学——尤其是奥克施纳健康系统的急诊医护人员——对阿片类药物危机的影响至关重要。基准处方数据表明,奥克施纳健康系统急诊医学医护人员的阿片类药物处方率显著高于全国急诊医学平均水平。

方法

从该机构的电子健康记录系统中提取与就诊和阿片类药物处方计数相关的数据。计算每位医护人员的阿片类药物处方率。启动了一个数据透明度项目,在该项目中,医护人员的阿片类药物处方率不再保密,并在医护人员群体中进行公布。

结果

在为期1年的项目期间,急诊服务的阿片类药物处方率总体从22%降至14%。一些医生的处方率降低了70%。重要的是,阿片类药物处方率下降并未对患者满意度评分产生负面影响。

结论

使用不保密且透明的数据分析来提高医护人员表现的透明度,可以有效且显著地改变医护人员的行为。

相似文献

3
Controlled Substance Prescribing Patterns--Prescription Behavior Surveillance System, Eight States, 2013.
MMWR Surveill Summ. 2015 Oct 16;64(9):1-14. doi: 10.15585/mmwr.ss6409a1.
4
The effects of state rules on opioid prescribing in Indiana.
BMC Health Serv Res. 2018 Jan 18;18(1):29. doi: 10.1186/s12913-018-2830-6.
8
Changes in Provider Prescribing Patterns After Implementation of an Emergency Department Prescription Opioid Policy.
J Emerg Med. 2017 Apr;52(4):538-546. doi: 10.1016/j.jemermed.2016.07.120. Epub 2017 Jan 19.
9
Variation in opioid prescribing patterns between ED providers.
Intern Emerg Med. 2016 Dec;11(8):1121-1124. doi: 10.1007/s11739-016-1505-8. Epub 2016 Jul 16.
10
Opioid prescribing rates from the emergency department: Down but not out.
Drug Alcohol Depend. 2019 Dec 1;205:107636. doi: 10.1016/j.drugalcdep.2019.107636. Epub 2019 Oct 17.

引用本文的文献

1
2
Restriction of oxycodone in the emergency department (ROXY-ED): A randomised controlled trial.
Br J Pain. 2023 Oct;17(5):491-500. doi: 10.1177/20494637231189031. Epub 2023 Jul 12.
3
Does electronic prescribing of controlled substances deter controlled substance prescribing in emergency departments?
Heliyon. 2023 Mar 30;9(4):e14981. doi: 10.1016/j.heliyon.2023.e14981. eCollection 2023 Apr.
4
Trends of Regional Anesthesia Studies in Emergency Medicine: An Observational Study of Published Articles.
West J Emerg Med. 2022 Oct 24;23(6):878-885. doi: 10.5811/westjem.2022.8.57552.
6
Effect of a Prescription Drug Monitoring Program on Emergency Department Opioid Prescribing.
West J Emerg Med. 2021 Apr 19;22(3):756-762. doi: 10.5811/westjem.2021.1.49652.
7
Clinical Effectiveness of Decision Support for Prescribing Opioids for Chronic Noncancer Pain: A Prospective Cohort Study.
Value Health. 2020 Feb;23(2):157-163. doi: 10.1016/j.jval.2019.09.2748. Epub 2019 Nov 22.

本文引用的文献

2
Opioid Prescribing in a Cross Section of US Emergency Departments.
Ann Emerg Med. 2015 Sep;66(3):253-259.e1. doi: 10.1016/j.annemergmed.2015.03.026. Epub 2015 May 4.
3
Patient satisfaction, prescription drug abuse, and potential unintended consequences.
JAMA. 2012 Apr 4;307(13):1377-8. doi: 10.1001/jama.2012.419.
4
Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study.
J Pain. 2007 Jun;8(6):460-6. doi: 10.1016/j.jpain.2006.12.005. Epub 2007 Feb 15.
5
The high prevalence of pain in emergency medical care.
Am J Emerg Med. 2002 May;20(3):165-9. doi: 10.1053/ajem.2002.32643.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验