Key result
Including nursing staff in multidisciplinary education on perioperative medication management led to a statistically significant improvement in medication management for general surgical patients.
Why the study?
Perioperative medication management in patients who are nil by mouth for surgery or endoscopy is often suboptimal, which can prolong recovery and increase morbidity and mortality.
Does multidisciplinary education improve perioperative medication management in general surgical patients made nil by mouth?
Does multidisciplinary education improve perioperative medication management in general surgical patients made nil by mouth?
Involving nursing staff in multidisciplinary education significantly improves perioperative medication management for surgical patients made nil by mouth.
May support local QI for perioperative meds; leaves open scalability and outcome impact without RCTs.
Perioperative medication management in patients who are nil by mouth for surgery or endoscopy is often suboptimal. Inappropriate medication management can prolong postoperative recovery and increase morbidity and mortality. This quality improvement study, carried out in general surgical patients at an 800-bed general hospital, aimed to improve perioperative medication management in accordance with the recommendations of the UK Clinical Pharmacy Association Handbook of Perioperative Medicine. Increasing awareness and educating general surgical team members, including doctors and non-medical prescribers, about perioperative medication management led to a non-significant improvement in medication management. However, a statistically significant improvement was achieved when nursing staff were also included. This study highlights the importance of involving different members of the multidisciplinary team in perioperative medication management.
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Zwaal et al. (2023) studied General surgical patients made nil by mouth perioperatively. Multidisciplinary education on perioperative medication management including nursing staff vs. Education of doctors and non-medical prescribers only was evaluated on Improvement in perioperative medication management. Including nursing staff in multidisciplinary education on perioperative medication management led to a statistically significant improvement in medication management for general surgical patients.
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