Opioid Prescribing From the ED: We Can All Do More to Help.
Opioid Prescribing From the ED: We Can All Do More to Help.
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急诊室开阿片类药物处方：我们都可以提供更多帮助。
DOI：
10.1111/acem.13861
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Brucker,Krista
中科院分区：
文献类型：
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作者：
Brucker,Krista
我赞扬 McCarthy 等人在 2014 年就将 ED 阿片类药物处方确定为一个问题，当时这个问题还没有引起很多关注。他们没有绞尽脑汁、拿出一个又一个令人震惊的统计数据并推卸责任，而是问：作为床边急诊医生，我们怎样才能做得更好？他们接着询问如何将患者教育方面的床边改进与药房和初级保健机构的就诊后干预相结合，帮助为患者提供更安全的阿片类药物疼痛控制。我对创建和部署适合阅读水平的信息讲义、改变当地药房的标签做法以及自动通知初级保健医生新的阿片类药物处方所必须花费的时间和精力印象深刻。他们继续避免诱惑——这种诱惑一定很强烈——在没有严格的随机对照试验要求的情况下实施这些改变。
I commend McCarthy et al for identifying ED opioid prescribing as an issue in 2014, before it was on many radars. Instead of hand wringing and trotting out one shocking statistic after another and shrugging off responsibility, they asked: how can we—as bedside ED doctors—do better? They went on to ask how combining their bedside improvements in patient education, with post visit interventions both at the pharmacy and in the primary care setting could help deliver safer opioid pain control for patients.I am impressed with the time and effort it must have taken to create and deploy the readinglevel-appropriate informational handout, change the labeling practices of local pharmacies and automate the notification of primary care doctors of a new opioid prescription. They went on to avoid the temptation—which must have been strong—to implement the changes without the rigor of a randomized control trial demands.