Improving Family Medicine Residents' Opioid Prescribing: A Nurse Practitioner-Led Model

被引：7

作者：

Naimer, Michelle S. ^{[1
,2
]}

Munro, Jessica ^{[3
]}

Singh, Suzanne ^{[3
]}

Permaul, Joanne A. ^{[4
]}

机构：

[1] Sinai Hlth Syst, Mt Sinai Acad Family Hlth Team, Toronto, ON, Canada

[2] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

[3] Mt Sinai Acad Family Hlth Team, Toronto, ON, Canada

[4] Sinai Hlth Syst, Mt Sinai Hosp, Dept Family Med, Toronto, ON, Canada

来源：

JNP-JOURNAL FOR NURSE PRACTITIONERS | 2019年 / 15卷 / 09期

关键词：

analgesics; family practice; general practice; opioid; pain management; primary care; quality improvement; medical education; CHRONIC PAIN MANAGEMENT; CARE;

D O I：

10.1016/j.nurpra.2019.07.002

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Academic family medicine teaching centers face distinct challenges with opioid prescribing, including higher rates of opioid misuse in resident patient populations and lower levels of experience managing chronic noncancer pain. To improve opioid prescribing practices in an academic family practice, we introduced and evaluated a nurse practitioner-led collaborative care model. After implementation of the model, we found a reduction in the average dose of opioids prescribed, increased use of urine drug tests and opioid treatment agreements, and fewer prescribers per patient. The nurse practitioner-led model was successfully implemented in an academic family practice with improvements in opioid prescribing and monitoring practices. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：661 / 665

页数：5

共 11 条

[1]

American Academy of Family Physicians, REC CURR GUID FAM ME

[2]

Canadian Centre on Substance Use and Addiction, 2016, JOINT STAT ACT ADDR

[3]

Colburn Jessica L, 2012, J Opioid Manag, V8, P153, DOI 10.5055/jom.2012.0111

[4] Adherence to Prescription Opioid Monitoring Guidelines among Residents and Attending Physicians in the Primary Care Setting [J].

Khalid, Laila ;

Liebschutz, Jane M. ;

Xuan, Ziming ;

Dossabhoy, Shernaz ;

Kim, Yoona ;

Crooks, Denise ;

Shanahan, Christopher ;

Lange, Allison ;

Heymann, Orlaith ;

Lasser, Karen E. .

PAIN MEDICINE, 2015, 16 (03) :480-487

[5] A holistic approach to chronic pain management that involves all stakeholders: change is needed [J].

Kress, Hans-Georg ;

Aldington, Dominic ;

Alon, Eli ;

Coaccioli, Stefano ;

Collett, Beverly ;

Coluzzi, Flaminia ;

Huygen, Frank ;

Jaksch, Wolfgang ;

Kalso, Eija ;

Kocot-Kepska, Magdalena ;

Mangas, Ana Cristina ;

Margarit Ferri, Cesar ;

Mavrocordatos, Philippe ;

Morlion, Bart ;

Mueller-Schwefe, Gerhard ;

Nicolaou, Andrew ;

Perez Hernandez, Concepcion ;

Sichere, Patrick .

CURRENT MEDICAL RESEARCH AND OPINION, 2015, 31 (09) :1743-1754

[6]

Lalonde L, 2014, J OPIOID MANAG, V10, P375

[7] Chronic pain management in medical education: a disastrous omission [J].

Loeser, John D. ;

Schatman, Michael E. .

POSTGRADUATE MEDICINE, 2017, 129 (03) :332-335

[8]

McMaster University Michael G. DeGroote National Pain Centre National Opioid Use Guideline Group, 2010, CAN GUID SAF EFF US

[9]

McMaster University Michael G. DeGroote National Pain Centre National Opioid Use Guideline Group, 2017, 2017 CAN GUID OP CHR

[10] Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey [J].

Pearson, Amy C. S. ;

Moman, Rajat N. ;

Moeschler, Susan M. ;

Eldrige, Jason S. ;

Hooten, W. Michael .

JOURNAL OF PAIN RESEARCH, 2017, 10 :1395-1400

← 1 2 →