EHR Based Medication Complete Communication Strategy to Promote Safe Opioid Use

基于 EHR 的药物完整沟通策略，促进阿片类药物的安全使用

• 批准号: 8794101
• 负责人: Danielle M McCarthy
• 金额: $ 47.16万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-12 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8794101
• 关键词: EHR; Based; Medication; Complete; Communication

DESCRIPTION (provided by applicant): The overall objective of this study is to leverage the electronic health record to implement a multifaceted strategy to better educate emergency department patients about medication risks and safe use for opioid pain relievers. Failure to take opioids safely can result in not only side effects, but also respiratory depression and death; deaths from opioid-related overdoses have tripled since the 1990s. One of every six patients discharged from the emergency department (ED) receives a prescription for an opioid. Unfortunately, recent studies indicate that emergency department discharge processes are inadequate, and patients often leave without the knowledge necessary to properly care for themselves. This lack of knowledge is potentially dangerous for patients receiving opioids, who may not know how to take their medication safely or be aware of its potential hazards. This project will leverage the strengths of a multidisciplinary research team and combine several health-literacy appropriate educational strategies to create an EHR-based medication complete communication (EMC2) strategy to promote safe use of opioid pain relievers. The EMC2 strategy will impart risk information to patients at multiple points in time and using multiple modalities. We will conduct a three-arm trial at an urban academic emergency department to evaluate the EMC2 and EMC2+SMS text message reminder strategies compared to usual care (N=816 patients; 272 patients per study arm). The primary outcome of interest will be a decrease in medication errors as measured by demonstrated safe medication use. Other safety outcomes will also be examined and patient knowledge will be measured. Additionally, we will assess the fidelity and economic impact of the interventions to identify any necessary modifications to guide future dissemination efforts.

描述（由申请人提供）：本研究的总体目标是利用电子健康记录实施多方面策略，以更好地教育急诊科患者有关阿片类止痛药的用药风险和安全使用。不安全服用阿片类药物不仅会导致副作用，还会导致呼吸抑制和死亡; 自1990年代以来，类阿片相关过量死亡人数增加了两倍。从急诊科（艾德）出院的每六名患者中就有一名接受阿片类药物的处方。不幸的是，最近的研究表明，急诊室的出院流程是不够的，病人往往离开没有必要的知识，以适当地照顾自己。这种知识的缺乏对接受阿片类药物的患者来说是潜在的危险，他们可能不知道如何安全地服用药物或意识到其潜在的危害。该项目将利用多学科研究团队的优势，并将联合收割机结合几种健康素养适当的教育策略，以创建基于EHR的药物完整通信（EMC 2）策略，以促进阿片类止痛药的安全使用。EMC 2策略将在多个时间点使用多种模式向患者传达风险信息。我们将在城市学术急诊科进行一项三组试验，以评价EMC 2和EMC 2+短信提醒策略与常规护理相比（N=816例患者;每个研究组272例患者）。关注的主要结局将是通过证明安全用药来衡量的用药错误减少。还将检查其他安全性结局，并测量患者知识。此外，我们将评估干预措施的保真度和经济影响，以确定任何必要的修改，以指导未来的传播工作。