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Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea.

dc.contributor.author Morgan, Brett
dc.contributor.author Moon, Richard
dc.contributor.author Stubberud, Allison B
dc.contributor.author Goode, Victoria M
dc.date.accessioned 2019-03-01T14:40:37Z
dc.date.available 2019-03-01T14:40:37Z
dc.date.issued 2019-02
dc.identifier S1089-9472(18)30085-6
dc.identifier.issn 1089-9472
dc.identifier.issn 1532-8473
dc.identifier.uri https://hdl.handle.net/10161/18100
dc.description.abstract PURPOSE:Obstructive sleep apnea (OSA) is a breathing disorder found in surgical patients and associated with complications in the postoperative period. The implementation of a preoperative universal screening process using the STOP-BANG questionnaire to identify patients at high risk for OSA provides opportunities for improved management. DESIGN:A pre-post design was used to evaluate screening compliance rates. METHODS:This initiative included staff education, which included the process for evaluating and documenting STOP-BANG scores. The data were collected via a chart review of the electronic medical record (EMR). FINDINGS:The rate of screening for OSA doubled after implementation of this initiative, and compliance with STOP-BANG questionnaire screening was 66.1%. High-risk designation in the EMR was 73.0%. Nearly half of the patients screened were found to be at high risk for OSA. CONCLUSIONS:Implementation of a universal screening initiative for patients and design for the EMR improves compliance with screening and identification of patients at high risk for OSA.
dc.language eng
dc.publisher Elsevier BV
dc.relation.ispartof Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
dc.relation.isversionof 10.1016/j.jopan.2018.04.002
dc.subject STOP-BANG questionnaire
dc.subject electronic medical record
dc.subject obstructive sleep apnea
dc.subject preanesthesia testing
dc.subject quality improvement
dc.title Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea.
dc.type Journal article
dc.date.updated 2019-03-01T14:40:36Z
pubs.begin-page 51
pubs.end-page 59
pubs.issue 1
pubs.organisational-group School of Nursing
pubs.organisational-group Duke
pubs.organisational-group School of Medicine
pubs.organisational-group Medicine, Pulmonary, Allergy, and Critical Care Medicine
pubs.organisational-group Medicine
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Anesthesiology, General, Vascular, High Risk Transplant & Critical Care
pubs.organisational-group Anesthesiology
pubs.publication-status Published
pubs.volume 34


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