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