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科学美国人60秒 SSS 改变电脑预设可减少阿片类药物处方量

时间:2020-12-23 05:39:05

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(单词翻译)

This is Scientific American's 60-second Science, I'm Christopher Intagliata.

这里是科学美国人——60秒科学系列,我是克里斯托弗·因塔格里塔。

Used to be, when doctors prescribed a drug, they'd open up a book summarizing drugs and dosages—or go by memory for the common stuff. But nowadays?

以前,医生开药时会打开汇总药物和剂量的书,或凭借记忆开出常见药物。那现在呢?

"Now you can type in whatever it is. It's placing an order via the computer. So you type in an order of the name of the drug, and it'll prepopulate everything."

“现在你可以输入任何内容。用电脑开药单。

Juan Carlos Montoy is an emergency medicine physician at San Francisco General Hospital. He also studies decision-making in health care. He says for an antibiotic1, the default dose programmed into a doctor's computer might be pretty standard. But for pain, the number of opioids prescribed might vary a lot, depending on the patient and their type of pain.

旧金山综合医院的急诊内科医师胡安·卡洛斯·蒙托伊说到。他还研究卫生保健方面的决策。他表示,对于抗生素,医生电脑中的默认剂量可能相当标准。但就疼痛而言,因患者及其疼痛种类不同,阿片类处方的剂量可能存在巨大差异。

"What we wanted to look at is: tell whether and to what extent the presets, the default settings we have in the electronic medical record, influenced provider prescribing."

“我们想研究的是:电子病历中的预设是否以及在多大程度上会影响处方提供者。”

Specifically, would lower defaults result in fewer opioids being prescribed?

具体来说,降低默认设置是否会减少阿片类药物处方?

So Montoy's team systematically2 changed the recommended-opioid-pill-number defaults in the computer systems of two hospitals in the San Francisco Bay Area during an eight-month period. Each hospital's preexisting defaults were 12 and 20 pills, respectively. The researchers dialed in new defaults of five, 10, 15 or an unspecified number of pills.

因此,蒙托伊的团队有组织地改变了旧金山湾区两家医院计算机系统中的阿片类药物默认推荐数量,时间持续八个月。每家医院先前的默认数量分别为12片和20片。研究人员调整的新默认值为5,10和15片或未说明数量。

Compared to doctors' prior prescribing habits, the new default settings resulted in fewer opioid pills prescribed overall—and fewer prescriptions4 exceeding the maximum recommendations by the Centers for Disease Control and Prevention.

研究人员调整的新默认值为5,10和15片或未说明数量。与医生之前的处方习惯相比,新默认值使阿片类药物处方整体数量下降,与医生之前的处方习惯相比,新默认值使阿片类药物处方整体数量下降,超过美国疾病控制和预防中心推荐数量最大值的处方量也减少了。

"This suggests that other hospitals, other emergency departments, clinics, can change those settings and impact opioid prescribing pretty much immediately. It's a really low-cost intervention5 and can be done really quickly."

“这表明,其他医院、急诊科和诊所都可以改变默认设置,立即影响阿片类药物处方。这的确是低成本且可以快速实施的干预措施。”

The results are in the Journal of the American Medical Association (JAMA) Internal Medicine.

研究结果发表在《美国医学会期刊——内科学》上。

"This is definitely not a silver bullet. The epidemic6 has a lot of different issues that need to be addressed, and this is one small tool we can use to address it."

“这绝对不是灵丹妙药。这一流行病有许多不同的问题需要解决,而这只是我们可以用来解决问题的一个小工具。”

Still, it could be a useful prescription3 for physicians.

不过,对医生来说,这可能是一个有用的“处方”。

Thanks for listening for Scientific American's 60-second Science. I'm Christopher Intagliata.

谢谢大家收听科学美国人——60秒科学。我是克里斯托弗·因塔利亚塔。


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点击收听单词发音收听单词发音  

1 antibiotic KNJzd     
adj.抗菌的;n.抗生素
参考例句:
  • The doctor said that I should take some antibiotic.医生说我应该服些用抗生素。
  • Antibiotic can be used against infection.抗菌素可以用来防止感染。
2 systematically 7qhwn     
adv.有系统地
参考例句:
  • This government has systematically run down public services since it took office.这一屆政府自上台以来系统地削减了公共服务。
  • The rainforest is being systematically destroyed.雨林正被系统地毀灭。
3 prescription u1vzA     
n.处方,开药;指示,规定
参考例句:
  • The physician made a prescription against sea- sickness for him.医生给他开了个治晕船的药方。
  • The drug is available on prescription only.这种药只能凭处方购买。
4 prescriptions f0b231c0bb45f8e500f32e91ec1ae602     
药( prescription的名词复数 ); 处方; 开处方; 计划
参考例句:
  • The hospital of traditional Chinese medicine installed a computer to fill prescriptions. 中医医院装上了电子计算机来抓药。
  • Her main job was filling the doctor's prescriptions. 她的主要工作就是给大夫开的药方配药。
5 intervention e5sxZ     
n.介入,干涉,干预
参考例句:
  • The government's intervention in this dispute will not help.政府对这场争论的干预不会起作用。
  • Many people felt he would be hostile to the idea of foreign intervention.许多人觉得他会反对外来干预。
6 epidemic 5iTzz     
n.流行病;盛行;adj.流行性的,流传极广的
参考例句:
  • That kind of epidemic disease has long been stamped out.那种传染病早已绝迹。
  • The authorities tried to localise the epidemic.当局试图把流行病限制在局部范围。

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