Improvement of Perioperative Efficiency via Pediatric Preanesthesia Respiratory Risk Training.
This process improvement to the registered nurse (RN) preanesthesia telephone call interview applied an evidence-based bundle of interventions to improve perioperative efficiency. The overarching aim was to decrease RN subjectivity regarding pediatric upper respiratory tract infection (URI) symptoms...
| Publicado en: | Journal of PeriAnesthesia Nursing Vol. 40; no. 2; pp. 254 - 260 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
W B Saunders
Apr2025
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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=184012033&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184012033 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10899472 4CG jtl: Journal of PeriAnesthesia Nursing issn: 10899472 maglogo: N pubinfo: dt: Apr2025 vid: 40 iid: 2 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 184012033 184012033 184012033 10.1016/j.jopan.2024.04.001 184012033 ppf: 254 ppct: 6 formats: tig: atl: Improvement of Perioperative Efficiency via Pediatric Preanesthesia Respiratory Risk Training. aug: au: Reddinger, Jamie L. Dickman, Jennifer Martyn, Slava affil: Department of Anesthesiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA sug: subj: Perioperative Nursing Quality Improvement Registered Nurses Education Anesthesia, General Preoperative Care Pediatric Nursing Early Diagnosis Respiratory Tract Infections In Infancy and Childhood Surgery Cancellations Online Education Outcomes of Education Human Child Telephone Interviews Nursing Practice, Evidence-Based Pretest-Posttest Design Anesthesiology Service Referral and Consultation Confidence Risk Assessment Patient Satisfaction Patient Safety Child: 6-12 years ab: This process improvement to the registered nurse (RN) preanesthesia telephone call interview applied an evidence-based bundle of interventions to improve perioperative efficiency. The overarching aim was to decrease RN subjectivity regarding pediatric upper respiratory tract infection (URI) symptoms during the preoperative telephone call family outreach interview to allow for early identification of respiratory illness that could lead to a day of surgery (DOS) cancellation. The design was an evidence-based process improvement with a pretest post-test design. An E-learning module, on pediatric preanesthesia respiratory risk training, was delivered to the RN telephone call staff. An anesthesiology-created pediatric URI algorithm with use of the Current signs and symptoms, Onset, Lung disease, airway Device, Surgery (COLDS) score, a preanesthetic risk score for children with URI symptoms, were used to trigger consultation with anesthesiology for URI symptoms. Anesthesiology consultation cards following situation-background-assessment-recommendation were used to streamline consultation with an anesthesiology attending physician. Predata were obtained from the Quality Report Card on patient illness cancellations made both on the preoperative telephone call and DOS from the previous 24 months. A plan-do-study-act cycle was completed over 10 weeks. RNs' confidence in their ability to recognize the need for anesthesiology consultation was 92% after completion of the E-learning module. The rate of DOS cancellations for patient illness decreased by 10% from 2021 and 7% from 2022. The rate of preoperative telephone call-identified patient illness cancellations increased by 10% from 2021 and 7% from 2022. Decreasing DOS cancellations by early identification of illness on the preoperative telephone call is preferred to avoid loss of operating room time, patient and family dissatisfaction with a DOS cancellation, and provide a safer time frame for surgery and anesthesia. RNs' confidence in anesthesiology consultation protocol was high after completion of the E-learning module. The process improvement to the RN workflow resulted in improved perioperative efficiency as evidenced by comparison of pretest post-test data indicating a reduction in DOS patient illness cancellations and an increase in preoperative telephone call patient illness cancellations. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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