Tackling the opioid epidemic: Reducing opioid prescribing while maintaining patient satisfaction with pain management after outpatient surgery.

Tackling the opioid epidemic: Reducing opioid prescribing while maintaining patient satisfaction with pain management after outpatient surgery.
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解决阿片类药物流行:减少阿片类药物处方,同时在门诊手术后保持患者对疼痛管理的满意度。

DOI:
10.1016/j.amjsurg.2020.04.006
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发表时间:
2020-10
影响因子:
3
通讯作者:
Skeete DA
Skeete DA
中科院分区:
医学3区
文献类型:
--
作者:
Allan LD;Coyne C;Byrnes CM;Galet C;Skeete DA

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Results of a quality improvement (QI) project to standardize our opioid prescribing practices following five common outpatient general surgery procedures are presented. Opioid prescribing habits were reviewed from June to December 2017. QI measures were implemented. We prospectively collected data on opioid prescribing habits and patients’ pain management ratings from September 2018 to February 2019. Following implementation, combination pills were less prescribed. More patients were prescribed adjuncts pre-(66% vs. 3%; p < 0.01) and post-operatively (85% vs. 50%; p < 0.01). One-third of pills were prescribed (1363 vs. 4185), with only 520 consumed. Average OME prescribed decreased from 179 to 127 mg (p < 0.001). At follow-up, 52 patients (54%) reported taking 11 pills (1–20) postoperatively for five days. Pain management was rated as good/excellent (88.6%) or fair (9.3%). Using a pragmatic multimodal approach, decreasing opioid prescriptions at discharge allows for adequate pain management.
DOI: 10.1097/sla.0000000000001993
发表时间: 2017-04-01
期刊: ANNALS OF SURGERY
影响因子: 9
作者:
Hill, Maureen V.;McMahon, Michelle L.;Barth, Richard J. Jr
通讯作者: Barth, Richard J. Jr
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影响因子: 2.7
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通讯作者: Chamberlain RS
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期刊: JAMA SURGERY
影响因子: 16.9
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通讯作者: Nallamothu, Brahmajee K.