2.50
Hdl Handle:
http://hdl.handle.net/10755/164167
Category:
Abstract
Type:
Presentation
Title:
Improving Patient Outcomes Utilizing an Evidence-Based Alcohol Withdrawal Protocol
Author(s):
Bahr, Sarah; Smith, Jeri
Author Details:
Sarah Bahr, MSN, CS, APRN, BC, Froedtert Hospital, Milwaukee, Wisconsin, USA, email: nacnsorg@nacns.org; Jeri Smith, MSN, ANP-BC, APNP
Abstract:
Purpose: The purpose was to improve the outcomes of patients undergoing alcohol withdrawal (AW) through implementation of the Clinical Institute Withdrawal Assessment-Alcohol revised (CIWA-Ar). Research on AW supports standardizing care across practitioners by monitoring and using behavioral and pharmacological interventions. Significance: Current management of AW compromises nursing's ability to provide quality care. As a result of providing standardized EB protocols it is anticipated outcomes will improve. Timely implementation will reduce delirium tremens, complications related to AW and length of stay. Background/Design: Currently, there is no consistent EB treatment for AW within the institution; rather patients receive various forms of alcohol treatment; including fixed-dosing, symptom triggered, administration of alcohol to patients. The rationale for this protocol is to standardize assessment and treatment of patients experiencing AW based on research. Methods: A CNS led a multidisciplinary team was charged to review current practices and outcomes, develop an EB protocol, and design an implementation process for AW. Based on the research findings the protocol is symptom-triggered and includes CIWA-Ar scale and MD order set. Unit-based Quality Council is monitoring chosen quality and safety indicators on a pilot unit. Findings: Primary outcome is standardization of care for patients undergoing AW based on research. Unit-based development councils are involved in staff education. Unit-based quality councils are involved in monitoring practice change. Implementation of the alcohol withdrawal protocol should result in: 1) Less medication utilization 2) Decreased incidence of delirium tremors, transfers to ICU, and length of stay 3) Clinicians utilizing tool and accurately completing protocol. Conclusions: Education and piloting of the CIWA-Ar protocol is occurring on a medical unit. Modifications to the protocol and institution wide implementation will be based on results of pilot data. Implications for Practice: Close monitoring is critical in providing protection for the patient and for obtaining accurate information to guide clinical decision-making. The implementation of the CIWA-Ar assists in standardizing care across a highly complex health care delivery system in a timely manner. It ensures best practice and improved patient outcomes in patients experiencing AW.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving Patient Outcomes Utilizing an Evidence-Based Alcohol Withdrawal Protocolen_GB
dc.contributor.authorBahr, Sarahen_US
dc.contributor.authorSmith, Jerien_US
dc.author.detailsSarah Bahr, MSN, CS, APRN, BC, Froedtert Hospital, Milwaukee, Wisconsin, USA, email: nacnsorg@nacns.org; Jeri Smith, MSN, ANP-BC, APNPen_US
dc.identifier.urihttp://hdl.handle.net/10755/164167-
dc.description.abstractPurpose: The purpose was to improve the outcomes of patients undergoing alcohol withdrawal (AW) through implementation of the Clinical Institute Withdrawal Assessment-Alcohol revised (CIWA-Ar). Research on AW supports standardizing care across practitioners by monitoring and using behavioral and pharmacological interventions. Significance: Current management of AW compromises nursing's ability to provide quality care. As a result of providing standardized EB protocols it is anticipated outcomes will improve. Timely implementation will reduce delirium tremens, complications related to AW and length of stay. Background/Design: Currently, there is no consistent EB treatment for AW within the institution; rather patients receive various forms of alcohol treatment; including fixed-dosing, symptom triggered, administration of alcohol to patients. The rationale for this protocol is to standardize assessment and treatment of patients experiencing AW based on research. Methods: A CNS led a multidisciplinary team was charged to review current practices and outcomes, develop an EB protocol, and design an implementation process for AW. Based on the research findings the protocol is symptom-triggered and includes CIWA-Ar scale and MD order set. Unit-based Quality Council is monitoring chosen quality and safety indicators on a pilot unit. Findings: Primary outcome is standardization of care for patients undergoing AW based on research. Unit-based development councils are involved in staff education. Unit-based quality councils are involved in monitoring practice change. Implementation of the alcohol withdrawal protocol should result in: 1) Less medication utilization 2) Decreased incidence of delirium tremors, transfers to ICU, and length of stay 3) Clinicians utilizing tool and accurately completing protocol. Conclusions: Education and piloting of the CIWA-Ar protocol is occurring on a medical unit. Modifications to the protocol and institution wide implementation will be based on results of pilot data. Implications for Practice: Close monitoring is critical in providing protection for the patient and for obtaining accurate information to guide clinical decision-making. The implementation of the CIWA-Ar assists in standardizing care across a highly complex health care delivery system in a timely manner. It ensures best practice and improved patient outcomes in patients experiencing AW.en_GB
dc.date.available2011-10-27T11:43:17Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:17Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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