Better Safe than Sorry: A Nursing Initiative to Reduce Codes Incidences in Post Surgical Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/153998
Type:
Presentation
Title:
Better Safe than Sorry: A Nursing Initiative to Reduce Codes Incidences in Post Surgical Patients
Abstract:
Better Safe than Sorry: A Nursing Initiative to Reduce Codes Incidences in Post Surgical Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Manasia, Roshan Jan Mohammad, BScN
P.I. Institution Name:Aga Khan University Hospital Karachi
Title:Clinical Nurse Specialist
Co-Authors:Uzma Sajwani, BScN; Shamsa Ladhani, RN; Amina Malik, BScN; Sajida Mithani, BScN; Arzoo Anwar, RN
21st INRC [Evidence-Based Practice Presentation] Studies conducted in last few decades show little evidence that the in hospital mortality rate of patients who achieve return of spontaneous circulation after cardiac arrest has changed significantly in past half century. Considering poor clinical outcomes of patients post cardiac arrest, organizations are moving towards the notion of preventing cardiopulmonary arrests through early identification and timely management of clinical emergencies. Towards this safety mission of reducing the codes, quality circle was initiated in 2 surgical units during period of Jan.-Dec. 2008 at Aga Khan University Hospital. Diagnostic journey included retrospective and prospective evaluation of codes to identify common causes of cardiac arrest, pre arrest vitals deteriorations, nursing assessment and clinical management and outcome of patients. Findings revealed that common causes of cardiopulmonary arrest in post surgical patients included shock, respiratory failure and intracranial hypertension and aspiration. In all cases significant vital deterioration was noticed at least 6 hours prior to cardiac arrest, which was either not identified or managed inadequately. Remedial journey was 2 fold. Primary focus was to improving nursing risk assessment for early identification of warning signs. Second aim was competency development of nurses towards management of common post surgical emergencies leading to cardiopulmonary sequel through clinical mentorship, critical care nursing outreach service, reflective practice and case based learning. Early identification and timely management of medical emergencies caused 42%  reduction in number of codes in post surgical patients after 6 months of interventions. Codes per thousand discharges also dropped down from 5.4/1000 discharges to 3.09/1000 discharges. And the survival outcome of post arrest patients significantly improved from 5.26% to 27.27% in post surgical patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBetter Safe than Sorry: A Nursing Initiative to Reduce Codes Incidences in Post Surgical Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153998-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Better Safe than Sorry: A Nursing Initiative to Reduce Codes Incidences in Post Surgical Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Manasia, Roshan Jan Mohammad, BScN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Aga Khan University Hospital Karachi</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">roshan.manasia@aku.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Uzma Sajwani, BScN; Shamsa Ladhani, RN; Amina Malik, BScN; Sajida Mithani, BScN; Arzoo Anwar, RN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Studies conducted in last few decades show little evidence that the in hospital mortality rate of patients who achieve return of spontaneous circulation after cardiac arrest has changed significantly in past half century. Considering poor clinical outcomes of patients post cardiac arrest, organizations are moving towards the notion of preventing cardiopulmonary arrests through early identification and timely management of clinical emergencies. Towards this safety mission of reducing the codes, quality circle was initiated in 2 surgical units during period of Jan.-Dec. 2008 at Aga Khan University Hospital. Diagnostic journey included retrospective and prospective evaluation of codes to identify common causes of cardiac arrest, pre arrest vitals deteriorations, nursing assessment and clinical management and outcome of patients. Findings revealed that common causes of cardiopulmonary arrest in post surgical patients included shock, respiratory failure and intracranial hypertension and aspiration. In all cases significant vital deterioration was noticed at least 6 hours prior to cardiac arrest, which was either not identified or managed inadequately. Remedial journey was 2 fold. Primary focus was to improving nursing risk assessment for early identification of warning signs. Second aim was competency development of nurses towards management of common post surgical emergencies leading to cardiopulmonary sequel through clinical mentorship, critical care nursing outreach service, reflective practice and case based learning. Early identification and timely management of medical emergencies caused 42% &nbsp;reduction in number of codes in post surgical patients after 6 months of interventions. Codes per thousand discharges also dropped down from 5.4/1000 discharges to 3.09/1000 discharges. And the survival outcome of post arrest patients significantly improved from 5.26% to 27.27% in post surgical patients.</td></tr></table>en_GB
dc.date.available2011-10-26T12:40:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:40:07Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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