scholarly journals Are Opioid Dependence and Methadone Maintenance Treatment (MMT) Documented in the Medical Record? A Patient Safety Issue

2009 ◽  
Vol 24 (9) ◽  
pp. 1007-1011 ◽  
Author(s):  
Alexander Y. Walley ◽  
Danielle Farrar ◽  
Debbie M. Cheng ◽  
Daniel P. Alford ◽  
Jeffrey H. Samet
Keyword(s):  
Patient Safety ◽  
Medical Record ◽  
Methadone Maintenance Treatment ◽  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Safety Issue ◽  
Patient Safety Issue

scholarly journals Cognitive Control in Opioid Dependence and Methadone Maintenance Treatment

PLoS ONE ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. e94589 ◽  
Author(s):  
Ding-Lieh Liao ◽  
Cheng-Yi Huang ◽  
Sien Hu ◽  
Su-Chen Fang ◽  
Chi-Shin Wu ◽  
...  
Keyword(s):  
Cognitive Control ◽  
Methadone Maintenance Treatment ◽  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Methadone Maintenance

scholarly journals Acupuncture for Opioid Dependence Patients Receiving Methadone Maintenance Treatment: A Network Meta-Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Hao Wen ◽  
Rouhao Chen ◽  
Peiming Zhang ◽  
Xiaojing Wei ◽  
Yu Dong ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Meta Analysis ◽  
Effective Rate ◽  
Risk Of Bias ◽  
Secondary Outcome ◽  
Opiate Withdrawal ◽  
Manual Acupuncture

Objectives: Opioid dependence has been a threat to public health for hundreds of years. With the increasing number of studies on acupuncture-related therapies for opioid dependence patients receiving methadone maintenance treatment (MMT), its effect of acupuncture therapy in treating MMT patients remains controversial. Therefore, we conducted a multiple-treatments meta-analysis, and incorporated both direct and indirect comparisons, in order to discover the most effective treatment for opioid dependence patients receiving MMT.Methods: Five English databases and three Chinese databases were searched from its inception to August 20, 2020, in order to compare the effects of acupuncture-related therapies and MMT, which was summarized as Western medicine (WM) in the following texts. The quality of studies was assessed according to Cochrane's risk of bias tool 5.1.0, and a pair-wise meta-analysis, cumulative meta-analysis, and the network meta-analysis was performed using the R software (Version 3.6.1) and STATA (Version 14.0). The primary outcome was the effective rate, which was calculated by the ratio of detoxifying patients to the total. The secondary outcome was the Modified Himmelsbach Opiate Withdrawal Scale (MHOWS).Results: A total of 20 trials were included, which consisted of comparisons among WM, traditional Chinese medicine (TCM), and the four types of acupuncture, namely, manual acupuncture (MA), electro-acupuncture (EA), auricular acupuncture (AA), and transcutaneous electrical acupoint stimulation (TEAS). Though none of the trials were at low risk of bias. In the pair-wise meta-analysis, no statistically significant differences were observed in terms of the effective rate. Furthermore, MA was more efficacious than WM, EA, and TEAS in MHOWS, with mean differences (MDs) of (−8.59, 95% CI: −15.96 to −1.23, P < 0.01), (−6.15, 95% CI: −9.45 to −2.85, P < 0.05), and (−10.44, 95% CI: −16.11 to −4.77, P < 0.05), respectively. In the network meta-analysis, MA was more effective than WM (RR: 1.40, 95% CI: 1.05 to 1.99) on the effective rate, and (MD: −5.74, 95% CI: −11.60 to −0.10) on MHOWS. TEAS was more effective than WM (MD: −15.34, 95% CI: −27.34 to −3.46) on MHOWS. Synthetically, MA had the highest probability to rank first in treating opioid dependence.Conclusions: The existing evidence shows that acupuncture related-therapies may effectively be used for treating patients receiving MMT, and that manual acupuncture may be the best choice for opioid dependence among all kinds of acupuncture-related therapies. Nevertheless, reducing the relapse and promoting the recovery of opioid dependence need more efforts from not only the medical industry but also government support, security system, and educational popularization. To strengthen the assurance of acupuncture-related therapies in the treatment of opioid dependence, we expected that clinical trials with high quality would be conducted, to provide more confident evidence.

scholarly journals Social and structural barriers for adherence to methadone maintenance treatment among Vietnamese opioid dependence patients

PLoS ONE ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. e0190941 ◽  
Author(s):  
Bach Xuan Tran ◽  
Long Hoang Nguyen ◽  
Tung Thanh Tran ◽  
Carl A. Latkin
Keyword(s):  
Methadone Maintenance Treatment ◽  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Structural Barriers

scholarly journals Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment

2016 ◽  
Vol 22 (4) ◽  
pp. 1055-1062
Author(s):  
Elizabeth Rebello ◽  
Spencer Kee ◽  
Alicia Kowalski ◽  
Nusrat Harun ◽  
Michele Guindani ◽  
...  
Keyword(s):  
Patient Safety ◽  
Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Safety Issue ◽  
Electronic Record ◽  
Time Out ◽  
Patient Safety Issue ◽  
Anesthesia Time ◽  
Over Time

Opening and charting in the incorrect patient electronic record presents a patient safety issue. The authors investigated the prevalence of reported errors and whether efforts utilizing the anesthesia time-out and barcoding have decreased the incidence of errors in opening and charting in the patient electronic medical record in the perioperative environment. The authors queried the database for all surgeries and procedures requiring anesthesia from January 2009 to September 2012. Of the 115,760 records of anesthesia procedures identified, there were 57 instances of incorrect record opening and charting during the study period. A decreasing trend was observed for all sites combined ( p < 0.0001) and at the off-site locations ( p = 0.0032). All locations and the off-site locations demonstrated a statistically significant decreasing pattern of errors over time. Barcoding and the anesthesia time-out may play an important role in decreasing errors in incorrect patient record opening in the perioperative environment.

Policy Changes and the Methadone Maintenance Treatment System for Opioid Dependence in Ontario, 1996 to 2001

2005 ◽  
Vol 24 (1) ◽  
pp. 39-51 ◽  
Author(s):  
Carol J. Strike ◽  
Karen Urbanoski ◽  
Benedikt Fischer ◽  
David C. Marsh ◽  
Margaret Millson
Keyword(s):  
Methadone Maintenance Treatment ◽  
Opioid Dependence ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment System ◽  
Policy Changes
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