阿片类药物管理审查委员会:在美国持续的阿片类药物过量危机中促进跨学科教育和支持。

Kyle Neale, Renato V Samala, Ruth Lagman, Patricia B Mullan, Laura Shoemaker
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引用次数: 0

摘要

背景:过去二十年来,美国阿片类药物危机造成的疼痛和痛苦导致了严重的发病率、政策改革和医疗资源紧张,并影响了医疗服务提供者管理患者疼痛的努力。2017 年,克利夫兰诊所姑息与支持性治疗部成立了阿片类药物管理审查委员会(OMRC),该委员会主要关注患者安全、阿片类药物管理、专科疼痛管理和成瘾医学技能教育,并为管理复杂疼痛病例的同事提供情感和信息支持:本质量评估和改进活动介绍了阿片类药物管理中心的组织情况及其对科室医护人员的影响:2023 年 2 月 1 日,向 OMRC 的参与者分发了一份在线调查。调查要求参与者提供其人口统计学信息和对以下问题的自由文本回答:OMRC 的目的、他们对 OMRC 在多大程度上改变了其疼痛管理方法的判断、OMRC 对其阿片类药物管理方法的影响、OMRC 对临床医生管理非医疗阿片类药物使用或合并药物使用的信心的影响,以及对改进未来会议的建议:79 名临床医生中有 59 人完成了调查(回复率为 75%)。参与者的综合答复表明,委员会促进了跨学科合作,提供了情感和专业支持,提高了对负责任阿片类药物处方的认识,增强了管理涉及非医疗阿片类药物使用或合并药物使用的复杂病例的信心:OMRC 代表了在当代阿片类药物过量危机中安全管理阿片类药物治疗的一种全面的跨学科方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Opioid Management Review Committee: Fostering Interdisciplinary Education and Support Amid the Ongoing US Opioid Overdose Crisis.

Background: Over the past two decades, pain and suffering caused by the U.S. opioid crisis have resulted in significant morbidity, policy reforms and healthcare resource strain, and affected healthcare providers' efforts to manage their patients' pain. In 2017, Cleveland Clinic's Department of Palliative and Supportive Care established their Opioid Management Review Committee (OMRC), which focuses on patient safety, opioid stewardship, education on specialist pain management and addiction medicine skills, and offers emotional and informational support to colleagues managing complex pain cases.

Objectives: This quality assessment and improvement activity describes the organization and effects of the OMRC on healthcare workers in the department.

Methods: On February 1, 2023, an online survey was distributed to attendees of the OMRC. Participants were asked to provide their demographic information and free text responses to questions about the purpose of the OMRC, their judgment about the extent to which the OMRC has changed their approach to pain management, the OMRC's impact on their approach to opioid management, its impact on the clinicians' confidence in managing nonmedical opioid use or comorbid substance use, and suggestions to improve future meetings.

Results: Fifty-nine out of 79 clinicians completed the survey (75% response rate). Participants' aggregate responses indicated that the committee fostered interdisciplinary collaboration, provided emotional and professional support, increased awareness of responsible opioid prescribing, and enhanced confidence in managing complex cases involving non-medical opioid use or comorbid substance use.

Conclusion: The OMRC represents a comprehensive interdisciplinary approach to safely manage opioid therapy during the contemporary opioid overdose crisis.

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