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疼痛管理优化项目,第一部分:立法与监管变革综述

Pain Management Stewardship Programs, Part I: A Review of Legislative and Regulatory Changes.

作者信息

Gibson Matthew, Nguyen Phuoc Anh Anne, Casserly Elizabeth Ann, Efird Leigh E, Kuester Melanie K, Masters Patricia, Miller Luke, Lewis Daniel A, Weber Robert J

机构信息

Novant Health, Winston-Salem, NC, USA.

The University of Texas MD Anderson Cancer Center, Houston, USA.

出版信息

Hosp Pharm. 2021 Apr;56(2):124-132. doi: 10.1177/0018578719868408. Epub 2019 Aug 16.

DOI:10.1177/0018578719868408
PMID:33790488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7958363/
Abstract

Opioid use is classified as an epidemic by many due to the impact of these medications on society. Federal and state laws for prescribing and dispensing opioids have changed rapidly in a short period of time to hopefully balance proper pain control with their use. Pharmacy directors must be informed of these rapid changes to effectively work as part of any opioid stewardship team. The objective of this study was to provide foundational leadership guidance to pharmacy directors on current opioid legislation, literature, and best practices to assist in improving opioid use. A review of the literature from 2003 to the present was conducted along with collating important up to date resources and other publications that provide foundational information to help support a comprehensive management of opioid use. A summary of these data has been collated into an easy to use table and summarized throughout this article. The information provided in this article helps to properly inform pharmacy leaders to the resources available to improve the prescribing, dispensing, and monitoring of opioids and alternatives.

摘要

由于这些药物对社会的影响,许多人将阿片类药物的使用归类为一种流行病。在短时间内,联邦和州关于阿片类药物处方和配药的法律迅速变化,以期在其使用与适当的疼痛控制之间取得平衡。药房主任必须了解这些快速变化,以便作为任何阿片类药物管理团队的一员有效地开展工作。本研究的目的是为药房主任提供关于当前阿片类药物立法、文献和最佳实践的基础领导指导,以协助改善阿片类药物的使用。对2003年至今的文献进行了综述,并整理了重要的最新资源和其他出版物,这些资源提供了基础信息,有助于支持对阿片类药物使用的全面管理。这些数据的总结已整理成一个易于使用的表格,并在本文中进行了总结。本文提供的信息有助于让药房领导者正确了解可用于改善阿片类药物及替代药物的处方、配药和监测的资源。

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本文引用的文献

1
ASHP Foundation Pharmacy Forecast 2019: Strategic Planning Advice for Pharmacy Departments in Hospitals and Health Systems.美国卫生系统药师协会基金会2019年药房预测:医院及医疗系统中药房部门的战略规划建议
Am J Health Syst Pharm. 2019 Jan 16;76(2):71-100. doi: 10.2146/sp180010.
2
Opioid overdose education and naloxone distribution: Development of the Veterans Health Administration's national program.阿片类药物过量教育与纳洛酮分发:退伍军人健康管理局国家项目的开展
J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2S):S168-S179.e4. doi: 10.1016/j.japh.2017.01.022.
3
Opioid overdose prevention and naloxone rescue kits: what we know and what we don't know.阿片类药物过量预防及纳洛酮急救包:我们所知道的与我们所不知道的
Addict Sci Clin Pract. 2017 Jan 7;12(1):4. doi: 10.1186/s13722-016-0068-3.
4
ASHP Foundation Pharmacy Forecast 2017: Strategic Planning Advice for Pharmacy Departments in Hospitals and Health Systems.《2017年美国卫生系统药师协会基金会药房预测:医院及卫生系统中药房部门的战略规划建议》
Am J Health Syst Pharm. 2017 Jan 15;74(2):27-53. doi: 10.2146/sp170001. Epub 2016 Nov 22.
5
The Ongoing Opioid Prescription Epidemic: Historical Context.持续的阿片类药物处方流行:历史背景
Am J Public Health. 2016 Aug;106(8):1365-6. doi: 10.2105/AJPH.2016.303297.
6
The Opioid Epidemic in the United States.美国的阿片类药物流行问题。
Emerg Med Clin North Am. 2016 May;34(2):e1-e23. doi: 10.1016/j.emc.2015.11.002. Epub 2016 Feb 17.
7
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.美国 2016 年慢性疼痛阿片类药物处方指南。
MMWR Recomm Rep. 2016 Mar 18;65(1):1-49. doi: 10.15585/mmwr.rr6501e1.
8
A Proactive Response to Prescription Opioid Abuse.对处方阿片类药物滥用的积极应对措施。
N Engl J Med. 2016 Apr 14;374(15):1480-5. doi: 10.1056/NEJMsr1601307. Epub 2016 Feb 4.
9
Legal changes to increase access to naloxone for opioid overdose reversal in the United States.美国为增加纳洛酮获取途径以逆转阿片类药物过量而进行的法律变革。
Drug Alcohol Depend. 2015 Dec 1;157:112-20. doi: 10.1016/j.drugalcdep.2015.10.013. Epub 2015 Oct 22.
10
Opioid Overdose Prevention Programs Providing Naloxone to Laypersons - United States, 2014.2014年美国向非专业人员提供纳洛酮的阿片类药物过量预防项目
MMWR Morb Mortal Wkly Rep. 2015 Jun 19;64(23):631-5.