Application of evidence-based postoperative nausea and vomiting management program in continuous quality improvement of Anesthesia Department
10.3760/cma.j.cn115682-20220516-02352
- VernacularTitle:基于证据的术后恶心呕吐管理方案在麻醉科持续质量改进中的应用
- Author:
Shuxin WANG
1
;
Jing ZHANG
;
Liping YE
;
Weihua YE
;
Pinwen WU
Author Information
1. 复旦大学附属闵行医院麻醉科，上海 201199
- Keywords:
Postoperative nausea and vomiting;
Evidence;
Continuous quality improvement;
Anesthesia nursing
- From:
Chinese Journal of Modern Nursing
2023;29(10):1366-1371
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop evidence-based postoperative nausea and vomiting (PONV) management program, so as to provide a reference for standardizing PONV management in Anesthesiology Department and reduce PONV incidence and severity of patients.Methods:From January to November 2021, based on the evidence clinical transformation model chart, the PONV management program in Anesthesiology Department was developed through evidence retrieval, quality evaluation, evidence summary, obstacle factor analysis and other methods, and 2 rounds of clinical practice reform were carried out. The implementation of quality review indicators of medical staff and the incidence of postoperative nausea, postoperative vomiting and PONV of patients and severity of postoperative nausea, postoperative vomiting were evaluated.Results:At baseline, after the first review and the second review, the implementation rate of quality review indicators of medical staff gradually increased, and the differences were statistically significant ( P<0.05) . After the second review, the incidence of postoperative nausea, postoperative vomiting and PONV and severity of postoperative nausea, postoperative vomiting decreased compared with the first review, and the differences were statistically significant ( P<0.05) . Conclusions:Evidence-based PONV management program can standardize the PONV management behavior of anesthesiology medical staff, reduce the incidence of postoperative nausea, postoperative vomiting and PONV and severity of postoperative nausea, postoperative vomiting, and improve the quality of PONV management.
