Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice.
This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring. A quality improvement project. A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more posit...
| Publicado en: | Journal of PeriAnesthesia Nursing Vol. 35; no. 1; pp. 7 - 17 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
W B Saunders
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141293036&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141293036 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10899472 4CG jtl: Journal of PeriAnesthesia Nursing issn: 10899472 maglogo: N pubinfo: dt: Feb2020 vid: 35 iid: 1 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 141293036 141293036 141293036 10.1016/j.jopan.2019.06.004 141293036 ppf: 7 ppct: 10 formats: tig: atl: Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice. aug: au: Scully, Kathryn R. Rickerby, Jennifer Dunn, Jessica affil: Clinical Educator Perianesthesia Care Units, Inova Fairfax Medical Campus, Falls Church, VA sug: subj: Perianesthesia Nursing Sleep Apnea, Obstructive Diagnosis Capnography Health Screening Methods Quality Improvement Program Implementation Human Male Female Post Anesthesia Care Units Sleep Apnea, Obstructive Risk Factors Risk Assessment Postoperative Complications Prevention and Control Nursing Staff, Hospital Education Hypoventilation Diagnosis Preoperative Care Nursing Interventions Patient Safety Audit Nursing Skills Documentation Questionnaires Male Female ab: This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring. A quality improvement project. A multidisciplinary team provided staff education to three perianesthesia care units. Using the STOP-Bang screening tool, five or more positive responses indicated high risk for OSA. A postanesthesia care unit audit tool tracked STOP-Bang scores, capnography use, hypoventilation events, nursing interventions, and respiratory complications. Among 314 patients with OSA, 36% were identified as high risk. Nurses used capnography on 76% of OSA patients and were able to readily identify hypoventilation and intervene. Respiratory complications occurred in 10.8% (n = 34) requiring a higher level of care. Postimplementation, all six postanesthesia care units employ this best practice. Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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