Kavanagh Patricia L, Strouse John J, Paice Judith A, Ibemere Stephanie O, Tanabe Paula
Jt Comm J Qual Patient Saf. 2025 Jan;51(1):74-79. doi: 10.1016/j.jcjq.2024.10.002. Epub 2024 Oct 17.
Sickle cell disease (SCD) is a life-limiting multisystem disease primarily affecting individuals of African and Latinx descent. Its most common complication is painful vaso-occlusive episodes (VOEs), which is also the most common reason individuals with SCD seek care in the emergency department (ED). National guidelines recommend the use of standardized approaches to pain management in the ED, preferably using pain management plans tailored to each patient. However, no standard approach to developing these plans exists. This article describes the development of an opioid calculator to help SCD clinicians create individualized plans to better manage acute painful VOE in the ED setting.
镰状细胞病（SCD）是一种危及生命的多系统疾病，主要影响非洲裔和拉丁裔个体。其最常见的并发症是疼痛性血管闭塞发作（VOE），这也是SCD患者到急诊科（ED）就诊的最常见原因。国家指南建议在急诊科采用标准化的疼痛管理方法，最好使用针对每个患者量身定制的疼痛管理计划。然而，目前尚不存在制定这些计划的标准方法。本文描述了一种阿片类药物计算器的开发，以帮助SCD临床医生制定个性化计划，以便在急诊科环境中更好地管理急性疼痛性VOE。
