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Successful implementation of an alcohol-withdrawal pathway in a general hospital.
Psychosomatics 2008 Jul-Aug; 49(4):292-9P

Abstract

BACKGROUND

Although alcohol use and abuse are common among general-hospital inpatients, many patients are inadequately assessed and treated for alcohol withdrawal.

OBJECTIVE

The purpose of this study was to determine whether the implementation of a clinical pathway for the treatment of alcohol withdrawal in medical inpatients would result in improvements in clinical practice and patient outcomes.

METHOD

Authors retrospectively reviewed 80 patient records (including 40 of those treated before the implementation of a pathway and 40 of those treated after pathway implementation).

RESULTS

Assessment procedures and ordering patterns of physicians (medical house staff and staff physicians) shifted in a fashion consistent with the new treatment guidelines. Patient outcomes (e.g., length of stay and the incidence of delirium) improved for those patients who received benzodiazepines within the range of the pathway guidelines.

CONCLUSIONS

Timely assessment and staff education can shift prescription patterns, increase patient monitoring, and reduce costs associated with alcohol withdrawal.

Authors+Show Affiliations

Dept. of Nursing, Massachusetts General Hospital, Blake 11, Boston, MA 02114, USA. jrepperdelisi@partners.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18621934

Citation

Repper-DeLisi, Jennifer, et al. "Successful Implementation of an Alcohol-withdrawal Pathway in a General Hospital." Psychosomatics, vol. 49, no. 4, 2008, pp. 292-9.
Repper-DeLisi J, Stern TA, Mitchell M, et al. Successful implementation of an alcohol-withdrawal pathway in a general hospital. Psychosomatics. 2008;49(4):292-9.
Repper-DeLisi, J., Stern, T. A., Mitchell, M., Lussier-Cushing, M., Lakatos, B., Fricchione, G. L., ... Bierer, M. (2008). Successful implementation of an alcohol-withdrawal pathway in a general hospital. Psychosomatics, 49(4), pp. 292-9. doi:10.1176/appi.psy.49.4.292.
Repper-DeLisi J, et al. Successful Implementation of an Alcohol-withdrawal Pathway in a General Hospital. Psychosomatics. 2008;49(4):292-9. PubMed PMID: 18621934.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful implementation of an alcohol-withdrawal pathway in a general hospital. AU - Repper-DeLisi,Jennifer, AU - Stern,Theodore A, AU - Mitchell,Monique, AU - Lussier-Cushing,Mary, AU - Lakatos,Barbara, AU - Fricchione,Gregory L, AU - Quinlan,Joan, AU - Kane,Martha, AU - Berube,Rhodes, AU - Blais,Mark, AU - Capasso,Virginia, AU - Pathan,Firdosh, AU - Karson,Andrew, AU - Bierer,Michael, PY - 2008/7/16/pubmed PY - 2008/8/21/medline PY - 2008/7/16/entrez SP - 292 EP - 9 JF - Psychosomatics JO - Psychosomatics VL - 49 IS - 4 N2 - BACKGROUND: Although alcohol use and abuse are common among general-hospital inpatients, many patients are inadequately assessed and treated for alcohol withdrawal. OBJECTIVE: The purpose of this study was to determine whether the implementation of a clinical pathway for the treatment of alcohol withdrawal in medical inpatients would result in improvements in clinical practice and patient outcomes. METHOD: Authors retrospectively reviewed 80 patient records (including 40 of those treated before the implementation of a pathway and 40 of those treated after pathway implementation). RESULTS: Assessment procedures and ordering patterns of physicians (medical house staff and staff physicians) shifted in a fashion consistent with the new treatment guidelines. Patient outcomes (e.g., length of stay and the incidence of delirium) improved for those patients who received benzodiazepines within the range of the pathway guidelines. CONCLUSIONS: Timely assessment and staff education can shift prescription patterns, increase patient monitoring, and reduce costs associated with alcohol withdrawal. SN - 0033-3182 UR - https://www.unboundmedicine.com/medline/citation/18621934/Successful_implementation_of_an_alcohol_withdrawal_pathway_in_a_general_hospital_ L2 - https://linkinghub.elsevier.com/retrieve/pii/49/4/292 DB - PRIME DP - Unbound Medicine ER -