Key result
A quality improvement intervention consisting of educational posters and staff meetings increased the correct administration of preoperative medications in fasting trauma patients from 39% to 61%.
Why the study?
Does an educational intervention improve the correct administration of prescribed preoperative medications in trauma patients placed NPO?
Observational (n=82)
No
Does an educational intervention improve the correct administration of prescribed preoperative medications in trauma patients placed NPO?
Absolute Event Rate: 61% vs 39%
Educational interventions such as posters and staff meetings can significantly improve the correct administration of preoperative medications in trauma patients who are nil per os.
May improve preoperative medication compliance on orthopedic wards; leaves open generalizability and durability beyond this single-center audit.
to be taped to drug trolleys on the orthopedic wards and informed the nursing staff of the need to give preoperative medications. We deemed the following to be important medication classes: calcium channel blockers, neuromodulators, beta-blockers, anti-epileptics, digoxin, bronchodilators, anti-anginals, anti-epileptics, and benzodiazepines. This was re-audited after one month to assess compliance and monitor for improvement. Results Forty patients were included in the first round and 41 in the re-audit. In the first round, 16/41 (39%) patients received their medications correctly. In patients who did not receive their medications (n=25), 22 had important medication classes omitted. Post implementation of the posters, 25/41 (61%) patients received their medications correctly. In patients who did not receive their medications (n=16), 10 had important medication classes omitted. The main reason why medications were incorrectly not given was that patients were NPO. Conclusion This quality improvement audit shows that our interventions between audit cycles have made a significant improvement in patients receiving their medications and therefore this has a direct positive impact on patient safety and outcomes. We should continue to have a close rapport with the nursing staff to maintain standards of correct practice, and these audit findings should be escalated to the emergency theatre thereafter.
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Bhadresha et al. (2022) conducted an observational in Preoperative trauma (n=82). Educational posters and staff meetings vs. Standard practice (pre-intervention) was evaluated on Correct administration of prescribed preoperative medications. A quality improvement intervention consisting of educational posters and staff meetings increased the correct administration of preoperative medications in fasting trauma patients from 39% to 61%.
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