Research on Active Monitoring Mode by Screening Risk Signals for Drug Abuse from Prescription Information
Objective:To identify risk signals from prescription information for drug abuse screening,and to establish an active drug abuse monitoring model based on this method. Methods:The prescription information of class Ⅱ psychotropic drugs in outpatient department from 2020 to 2022 was extracted. Suspected drug abuse patients were screened according to six indicators:overdos,over-treatment,combined use of second-class spermine drugs,alternative therapy,withdrawal medication and self-increment,and drug dependence was assessed using standardized interview outline. According to the evaluation results,the suspected population was divided into dependent group and non-dependent group,and the screening effects of six risk signals were analyzed and compared. Results:A total of 995 suspected drug dependent patients were found during screening,167 of them were rated as drug abuse. The results of cross analysis between the two groups showed that overdose,combined use of psychotropic drugs,replacement therapy,withdrawal therapy and self-increment showed significant differences in screening effectiveness (P<0.05). Established a database of trigger words and exclusion conditions for drug abuse monitoring based on screening results analysis and comparison. Conclusion:Extracting risk signals from prescription information as a screening tool for active drug abuse monitoring is feasible. This model is worth further research and promotion.
Class Ⅱ psychotropic drugsStandardized interview outlinesdrug abuseActive monitoring