关键事件分析:姑息治疗处方阿片类药物。

Daisy Jacobs
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引用次数: 0

摘要

背景:阿片类药物可以缓解严重的癌症相关疼痛,但有可能引起显著的不良反应。它们是错误处方的五大药物之一,可能会导致潜在的致命后果。在Gosport调查之后,这组药物仍在接受审查。缺乏培训和教育可能导致严重的处方错误。临终关怀方面的教育和培训以及比常规实践中看到的更高剂量阿片类药物的处方不是常态,需要进一步开展工作,以增强社区和急性环境中全科处方者的信心。这一事件导致了实践的变化,并通过区域培训在当地取得了改进,但在全国仍有进一步的工作要做。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Critical incident analysis: prescribing opioids in palliative care.

Background: Opioids provide relief from severe cancer-related pain, but have the potential to cause significant adverse effects. They are among the top five drugs that are wrongly prescribed and can have potentially fatal consequences. This group of drugs has remained under scrutiny following the Gosport Enquiry. A lack of training and education can lead to significant prescribing errors. Education and training in end-of-life care and the prescribing of higher dose opioids than is seen in regular practice is not the norm and further work needs to be done to enhance the confidence of generalist prescribers in the community and acute setting. This incident led to changes in practice and made improvements locally with regional training, yet further work remains to be done nationally.

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