Robinson Kortney A, Carroll Michaela, Ward Stephanie B, Osman Samia, Chhabra Karan R, Arinze Nkiruka, Amedi Alind, Kaafarani Haytham, Smink Douglas S, Kent Tara S, Aner Musa M, Brat Gabriel
Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
J Surg Educ. 2020 May-Jun;77(3):621-626. doi: 10.1016/j.jsurg.2019.12.012. Epub 2020 Jan 14.
(1) To identify gaps in providers knowledge on opioid medication and dosing, patient-specific characteristics that require alterations in dosing, and patient monitoring and treatment adjustments. (2) To evaluate an educational intervention aimed at minimizing these deficits.
Observational prospective study. Providers took an anonymous paired pre-and posteducation knowledge assessment before and after participating in a 75-minute educational session. Results before and after the educational session were compared.
Surgical providers included nurse practitioners, physician assistants, preinterns, and general surgery residents across 4 quaternary care hospitals in Boston. Participants There were 194 participants and 174 completed both pre- and posteducation knowledge assessments.
Average scores on the educational assessment increased from 59% before the course to 68% after the session. Posteducation, providers reported increased comfort in prescribing and 95% stated that the curriculum would impact their practice.
Surgical providers at multiple hospitals have significant gaps in knowledge for optimal prescribing and management of opioid prescriptions. A 75-minute opioid education session increased prescriber knowledge as well as comfort in prescribing. This multicenter study demonstrates how an educational initiative can be implemented broadly and result in decreased knowledge gaps.
（1）确定医疗服务提供者在阿片类药物用药及剂量、需要调整剂量的患者特异性特征以及患者监测和治疗调整方面的知识差距。（2）评估一项旨在尽量减少这些不足的教育干预措施。
观察性前瞻性研究。医疗服务提供者在参加一场75分钟的教育课程之前和之后进行了匿名的配对教育前和教育后知识评估。比较了教育课程前后的结果。
手术医疗服务提供者包括波士顿4家四级医疗中心医院的执业护士、医师助理、实习前人员和普通外科住院医师。参与者共有194名参与者，其中174名完成了教育前和教育后的知识评估。
教育评估的平均分数从课程前的59%提高到课程后的68%。在接受教育后，医疗服务提供者表示在开处方方面更有信心，95%的人表示该课程将影响他们的临床实践。
多家医院的手术医疗服务提供者在阿片类药物处方的最佳开具和管理知识方面存在显著差距。一场75分钟的阿片类药物教育课程增加了开处方者的知识以及开处方的信心。这项多中心研究展示了一项教育倡议如何能够广泛实施并缩小知识差距。
