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首页> 外文期刊>Annals of Emergency Medicine: Journal of the American College of Emergency Physicians and the University Association for Emergency Medicine >Screening for at-risk alcohol use and drug use in an emergency department: Integration of screening questions into electronic triage forms achieves high screening rates
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Screening for at-risk alcohol use and drug use in an emergency department: Integration of screening questions into electronic triage forms achieves high screening rates

机译：筛查急诊部中的风险酒精使用和药物使用：将筛选问题的整合到电子分类形式方面取得了高筛选率

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Study objective: Previous studies have shown that brief interventions for at-risk alcohol and drug use are significantly more likely to occur if patients are screened with a standardized, validated instrument, but high screening rates have traditionally been difficult to attain. Use of very brief screens can enable brief intervention specialists to focus their efforts on assessing and assisting patients most likely to need a brief intervention or more intensive treatment. This study describes the results of integrating brief substance abuse screens into an urban emergency department's (ED's) triage process. Methods: As part of a comprehensive initiative to increase alcohol and drug screening, brief intervention, and referral to treatment (SBIRT), 3 single-item screening questions were programmed into the electronic triage tool used in the ED to detect tobacco use, at-risk alcohol use, illicit drug use, or prescription drug misuse. Project staff conducted training sessions with nurses to ensure the questions were asked properly and ED supervisors provided ongoing performance feedback. Names of patients with positive responses to the alcohol or drug questions automatically populated a list forwarded to health education specialists, who provided assessments, brief interventions, and referrals. Results: Screening was conducted with 145,394 of 151,597 eligible patients, a 96% screening rate. Electronic reports revealed an 89% screening rate 30 days postimplementation and gradually increasing and stabilizing at approximately 97%. The overall percentage of patients screening positive for alcohol or drug use was similar to that of other ED-based studies (22%) but varied substantially by patient demographics. Conclusion: High rates of screening can be achieved if properly integrated into a clinical setting's existing patient care processes with well-planned information technology support.
机译：研究目的：前面的研究表明，如果患者用标准化的验证仪器筛选患者，则可能发生患者的危险酒精和药物使用的简要干预措施，但传统上难以达到高筛选率。使用非常简短的屏幕可以实现简短的干预专家，将他们的努力集中在评估和协助最有可能需要简短的干预或更密集的治疗患者的努力。本研究描述了将简短的物质滥用屏幕集成到城市急诊部门（ED）的分类过程中的结果。方法：作为增加酒精和药物筛查的综合措施的一部分，简要干预和转诊治疗（SBIRT），将3个单项筛选问题编程到ED中使用的电子分类工具以检测烟草使用，AT-风险酒精使用，非法药物使用或处方药滥用。项目人员与护士进行了培训课程，以确保妥善提出问题，而ED主管则提供正在进行的绩效反馈。对酒精或药物问题的患者的名称自动填充到卫生教育专家转发的列表，他们提供了评估，简短干预措施和转介。结果：筛选均为151,597名符合条件的患者的145,594名，筛查率为96％。电子报告显示89％的筛选率为30天后期，逐渐增加和稳定约97％。筛选醇或吸毒阳性的患者的总体百分比与其他基于ED的研究（22％）的患者相似，但通过患者人口统计学基本上变化。结论：如果适当整合到具有规划良好的信息技术支持的临床环境的现有患者护理流程中，可以实现高筛选率。

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