Standardised electronic algorithms for monitoring prophylaxis of postoperative nausea and vomiting.
anaesthesia information management systems
anaesthesiology
documentation
patient safety
perioperative management
postoperative nausea and vomiting
Journal
Archives of medical science : AMS
ISSN: 1734-1922
Titre abrégé: Arch Med Sci
Pays: Poland
ID NLM: 101258257
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
23
01
2017
accepted:
28
03
2017
entrez:
23
3
2019
pubmed:
23
3
2019
medline:
23
3
2019
Statut:
ppublish
Résumé
Despite comprehensive guidelines with high-grade evidence, postoperative nausea and vomiting (PONV) remains a frequent problem in anaesthesia care. Anaesthesia information management systems (AIMS) may aid clinicians in PONV prevention, but their benefit is critically dependent on the details of implementation into practice. This study aimed to examine strengths and weaknesses of the local AIMS-based algorithm in prevention of PONV. This retrospective study was conducted in the post-anaesthesia care unit (PACU) of a university hospital and included 10 604 patients aged 18 or older who were followed up in the PACU (intracranial, obstetrical or cardiothoracic surgery excluded) from March 2013 until March 2014. The PONV incidence in PACU and AIMS data validity were analysed. Adherence to PONV guideline recommendations was considerably low, with only 5749 (54%) of the patients receiving correct PONV prophylaxis. Two thousand seven hundred sixty-six (26%) of the patients received an insufficient PONV prophylaxis, which was associated with an excess PONV incidence (11% vs. 4% with correct prophylaxis, Adherence to PONV prophylaxis guidelines in the era of AIMS software and decision support is still remarkably low. The AIMS data usefulness depends on the user, the type of data input and the configuration of the software. Adherence to correct PONV prophylaxis should be re-evaluated systematically before discharge from PACU.
Identifiants
pubmed: 30899294
doi: 10.5114/aoms.2019.83293
pii: 35961
pmc: PMC6425213
doi:
Types de publication
Journal Article
Langues
eng
Pagination
408-415Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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