Impact of an Electronic Pain and Opioid Risk Assessment Program: Are There Improvements in Patient Encounters and Clinic Notes?
Impact of an Electronic Pain and Opioid Risk Assessment Program: Are There Improvements in Patient Encounters and Clinic Notes?
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DOI：
10.1093/pm/pnw033
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发表时间：
2016-11-01
期刊：
影响因子：
3.1
通讯作者：
Jamison, Robert N.
中科院分区：
文献类型：
--
作者：
Butler, Stephen F.;Zacharoff, Kevin L.;Jamison, Robert N.
目标。一个全面的电子自我报告评估，称为PainCAS VR（临床评估系统），在三个诊所开发和实施。PainCAS捕获人口统计信息、疼痛评估、生活质量变量，并包含经过验证的电子版本的阿片类药物相关异常行为风险筛查（SOAPP和COMM）。本研究旨在确定PainCAS对疼痛记录和阿片类药物风险评估的影响。探索性假设检查了患者与提供者互动内容的变化及其对结果的影响。在研究1中，在完成电子程序的疼痛患者（N=89）和代表标准护理的对照组（N=120）之间进行图表回顾。在研究2中，两组慢性疼痛患者（对照组=75，PainCAS实验组=72）在完成指标门诊后接受访谈，并于3个月后邮寄问卷。结果显示，与使用传统纸质问卷调查的患者相比，完成PainCAS的患者在图表中记录了更多关键的疼痛相关图表元素(研究1；
Objective. A comprehensive electronic self-report assessment, called PainCAS VR (Clinical Assessment System), was developed and implemented in three clinics. PainCAS captures demographic information, pain assessment, quality-of-life variables, and contains validated, electronic versions of screeners for risk of aberrant opioid-related behaviors (the SOAPP and COMM). This investigation sought to determine the impact of PainCAS on documentation of pain and opioid risk evaluations. Exploratory hypotheses examined changes in the content of the patient-provider interaction and any impact on outcome.Methods. In study 1, chart reviews were conducted between pain patients who completed the electronic program (N=89) and controls who represented standard of care (N=120). In study 2, two groups of chronic pain patients (treatment-as-usual Control condition=75, PainCAS Experimental condition=72) were interviewed after completing their index clinic visit and completed mailed questionnaires 3 months later.Results. Results revealed significantly more key, pain-relevant chart elements documented in charts of patients who completed the PainCAS than those using a traditional paper questionnaire (Study 1;