| A confidential enquiry into methadone-related deaths. | |
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MedLine Citation:
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PMID: 10717957 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To assess the acceptability and usefulness of the "confidential enquiry" process in examining methadone-related deaths. DESIGN: An audit of patient care. SETTING: Glasgow, Scotland, UK (population 915,000) Participants. All doctors who, in the final 14 days of the patient's life, had attended a patient who suffered a methadone-related death. MEASUREMENTS: The medical care of each case was assessed by peer review and the results of these assessments returned to the responsible clinician(s). FINDINGS: (1) The audit cycle was completed in 32 of the 34 reported cases (94%). (2) Twenty-eight of 33 doctors (85%) found the audit to be helpful. (3) As a result of the enquiry, the majority of doctors whose patient management had attracted criticism intended to amend their practice. (4) Shortcomings in clinical care were identified in 18 cases (56%) and problems in the organization of services in 22 (69%). CONCLUSIONS: (1) The model of audit piloted here was found to be highly acceptable to participants. (2) The episodes of substandard care that were uncovered provided useful opportunities to improve the future management of patients who were being prescribed methadone. |
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Authors:
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R T Scott; M J Jay; R Keith; J S Oliver; M T Cassidy |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Addiction (Abingdon, England) Volume: 94 ISSN: 0965-2140 ISO Abbreviation: Addiction Publication Date: 1999 Dec |
Date Detail:
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Created Date: 2000-04-12 Completed Date: 2000-04-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9304118 Medline TA: Addiction Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1789-94 Citation Subset: IM |
Affiliation:
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Glasgow Drug Problem Service, Woodside Health Centre, Scotland, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Confidentiality Humans Medical Audit Methadone / adverse effects* Patient Care / standards* Questionnaires Scotland / epidemiology Substance-Related Disorders / mortality* |
| Chemical | |
Reg. No./Substance:
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76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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