Open AccessDigital Quality Improvement Approach Reduces the Need for Rescue Antiemetics in High-Risk Patients
Author(s) -
Eilon Gabel,
John H. Shin,
Ira Hofer,
Tristan Grogan,
Keren Ziv,
Joe C. Hong,
Anahat Dhillon,
J. Moore,
Aman Mahajan,
Maxime Cannesson
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003828
Subject(s) - medicine , postoperative nausea and vomiting , pacu , perioperative , antiemetic , anesthesiology , emergency medicine , incidence (geometry) , medline , quality management , medical record , intensive care medicine , nausea , anesthesia , surgery , management system , physics , management , political science , law , optics , economics
Affecting nearly 30% of all surgical patients, postoperative nausea and vomiting (PONV) can lead to patient dissatisfaction, prolonged recovery times, and unanticipated hospital admissions. There are well-established, evidence-based guidelines for the prevention of PONV; yet physicians inconsistently adhere to them. We hypothesized that an electronic medical record-based clinical decision support (CDS) approach that incorporates a new PONV pathway, education initiative, and personalized feedback reporting system can decrease the incidence of PONV.