Implementation of a New Guideline and Educational Sessions to Reduce Low-Value Continuous Pulse Oximetry Among Hospitalized Patients
| Autor: | Andrew M. Harrison, Cammi Bowman, Andree Koop, Gaja F. Shaughnessy, Jordan Ray, M. Caroline Burton, Lauren F. Cornell, Christopher L. Brett, Scott A Helgeson |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Hospitalized patients Staff education Unnecessary Procedures Young Adult Education Nursing Continuing Continuous pulse oximetry Humans Medicine Oximetry Prospective Studies Practice Patterns Physicians' Young adult Prospective cohort study Aged Aged 80 and over Practice Patterns Nurses' business.industry General Medicine Guideline Length of Stay Middle Aged Patient Acuity Quality Improvement Hospitalization Clinical trial Practice Guidelines as Topic Emergency medicine Florida Education Medical Continuing Female Guideline Adherence business |
| Zdroj: | Southern Medical Journal. 111:87-92 |
| ISSN: | 1541-8243 0038-4348 |
| DOI: | 10.14423/smj.0000000000000766 |
| Popis: | Objectives The use of continuous pulse oximetry (CPOX) is ubiquitous among hospitalized patients, despite limited evidence that it improves clinical outcomes. The objective of this study was to reduce the use of CPOX among hospitalized patients in the nonintensive care unit and nonprogressive care unit settings. Methods This interventional trial included the creation a new local guideline for CPOX use and subsequent staff education. CPOX use, patient acuity, hospital length of stay, and code blue events were measured before and after the intervention. Results Postintervention there was a clinically significant and sustained decrease in CPOX use of 18% over 1 year. There were no significant changes postintervention in hospital length of stay or number of code blue events. Conclusions Development of a guideline for CPOX use and staff education successfully led to a decrease in CPOX use, without an increase in hospital length of stay or code blue events. |
| Databáze: | OpenAIRE |
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