?Opening the door to somebody who has a chance. ? ? The experiences and perceptions of public safety personnel towards a public restroom overdose prevention alarm system
?Opening the door to somebody who has a chance. ? ? The experiences and perceptions of public safety personnel towards a public restroom overdose prevention alarm system
复制标题
DOI：
10.1016/j.drugpo.2020.103038
复制
发表时间：
2021-02-01
影响因子：
4.4
通讯作者：
Walley, Alexander Y.
中科院分区：
文献类型：
--
作者：
Buchheit, Bradley M.;Crable, Erika L.;Walley, Alexander Y.
背景：由于非法阿片供应中的芬太尼，阿片类药物过量死亡人数激增，与其他阿片类药物相比，芬太尼导致过量使用的速度更快。公共洗手间是芬太尼过量使用的常见场所。作为回应，一些组织已经实施了反运动警报系统作为一种预防方法。目的：描述某城市医疗中心公厕安装防动报警系统后，医院公安人员的体验和感受。方法：2019年2-6月，采用半结构式定性访谈的方法，探讨医院公厕在安装防动报警系统和不安装防动报警系统的情况下，医院公厕人员应对过量用药的经验和感受。我们采访了11名人员，采访时间平均为26分钟。结果：10名受试者为男性，平均年龄40岁，在医院工作的平均时间为12年。确定了四个主题：公共安全人员1)相信应对服药过量是一种适当的责任；2)在应对服药过量时，专注于他们的培训，而不是个人情绪；3)尽管存在技术挑战，但将防动报警系统视为一种可接受的预防服药过量的工具；以及4)报告对防动报警系统潜在意外后果的担忧。结论：在一个学术医学中心，公共厕所的服药过量反应已纳入公共安全人员的日常工作。反运动警报系统是一项有潜力提高过量反应和安全性的创新，尽管这项技术需要不断开发，而且应该评估意想不到的后果。为了优化芬太尼使用过程中的厕所安全，需要在急救人员、在厕所使用药物的人和其他厕所顾客中进行更多的研究。
Background: Opioid overdose deaths have surged due to fentanyl in the illicit opioid supply, which causes overdose more rapidly than other opioids. Public restrooms are venues where fentanyl overdoses commonly occur. In response, some organizations have implemented anti-motion alarm systems as a prevention approach. We aimed to describe the experiences and perceptions of public safety personnel after the installation of an anti-motion alarm system in public restrooms at an urban medical center.Methods: From February to June 2019, we conducted semi-structured qualitative interviews to explore the experiences and perceptions of hospital public safety personnel who responded to overdoses in public restrooms with and without an anti-motion alarm system. We interviewed 11 personnel, with interviews lasting an average of twenty-six minutes. We conducted inductive thematic analysis to synthesize and identify salient themes.Results: Ten participants were male; the average age was 40 with an average time employed by the hospital of 12 years. Four themes were identified: Public safety personnel 1) believe responding to overdoses is an appropriate responsibility; 2) focus on their training rather than individual emotions when responding to an overdose; 3) view the anti-motion alarm system as an acceptable tool for preventing overdoses, despite technological challenges; and 4) report concern for potential unintended consequences of the anti-motion alarm system.Conclusions: Overdose response in public restrooms has been incorporated into the daily duties of public safety personnel at an academic medical center. Anti-motion alarm systems are an innovation with potential to improve overdose response and safety, though the technology warrants ongoing development and unintended consequences should be assessed. To optimize restroom safety in the midst of fentanyl use, more research is needed among first responders, people who use drugs in restrooms, and other restroom patrons.