Successful implementation of an alcohol-withdrawal pathway in a general hospital
Successful implementation of an alcohol-withdrawal pathway in a general hospital
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DOI：
10.1176/appi.psy.49.4.292
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发表时间：
2008-07-01
期刊：
影响因子：
3.4
通讯作者：
Bierer, Michael
中科院分区：
文献类型：
--
作者：
Repper-DeLisi, Jennifer;Stern, Theodore A.;Bierer, Michael
背景资料：尽管酒精使用和滥用在综合医院住院患者中很常见，但许多患者对酒精戒断的评估和治疗不足。目的：本研究的目的是确定实施临床路径治疗住院患者的酒精戒断是否会导致临床实践和患者结局的改善。方法：作者回顾性审查了80例患者记录（包括40例在实施路径之前接受治疗的患者和40例在实施路径之后接受治疗的患者）。结果如下：评估程序和医生（医务室工作人员和工作人员医生）的订购模式转变的方式与新的治疗指南一致。患者结局（例如，住院时间和谵妄的发生率）改善的那些患者接受苯二氮卓类药物的范围内的途径指南。结论：及时的评估和员工教育可以改变处方模式，增加患者监测，并降低与戒酒相关的成本。
Background: Although alcohol use and abuse are common among general-hospital inpatients, many patients are inadequately assessed and treated for alcohol withdrawal. Objective: The purpose of this study was to determine whether the implementation of a clinical pathway for the treatment of alcohol withdrawal in medical inpatients would result in improvements in clinical practice and patient outcomes. Method: Authors retrospectively reviewed 80 patient records (including 40 of those treated before the implementation of a pathway and 40 of those treated after pathway implementation). Results: Assessment procedures and ordering patterns of physicians (medical house staff and staff physicians) shifted in a fashion consistent with the new treatment guidelines. Patient outcomes (e.g., length of stay and the incidence of delirium) improved for those patients who received benzodiazepines within the range of the pathway guidelines. Conclusions: Timely assessment and staff education can shift prescription patterns, increase patient monitoring, and reduce costs associated with alcohol withdrawal.