Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients
Paediatric patients often present with symptoms of respiratory illnesses in the weeks leading up to surgery. Current or recent illness can increase the risk of experiencing perioperative respiratory complications. Ideally, children with recent illnesses should be identified before coming to the hosp...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-10-01
|
| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/13/4/e002843.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850182304264093696 |
|---|---|
| author | Abby Victoria Winterberg Stacie Richmond Nathaniel T G Tighe Jennifer Buckley David Winthrop Buck |
| author_facet | Abby Victoria Winterberg Stacie Richmond Nathaniel T G Tighe Jennifer Buckley David Winthrop Buck |
| author_sort | Abby Victoria Winterberg |
| collection | DOAJ |
| description | Paediatric patients often present with symptoms of respiratory illnesses in the weeks leading up to surgery. Current or recent illness can increase the risk of experiencing perioperative respiratory complications. Ideally, children with recent illnesses should be identified before coming to the hospital to determine the safest course of action. We recognised that our system lacked a standardised process for documenting preoperative respiratory illness during the preoperative phone call. The global aim of this quality improvement initiative was to decrease paediatric perioperative respiratory adverse events. The SMART Aim (Specific, Measurable, Achievable, Relevant and Time-bound) was to increase the percentage of patients with standardised documentation of preoperative respiratory illness from 0% to 90% by 1 March 2023. Implementation of a standardised preoperative illness questionnaire increased standardised illness documentation from 0% to 95%. Nurses quickly adopted this intervention and easily integrated it into their routine workflow. Clinical leaders elected to implement the intervention electronically across all three operating room (OR) locations (main OR, satellite location and procedure centre). Future implementation of additional standardised preoperative processes will be needed to improve the global aim of decreasing perioperative respiratory complications. |
| format | Article |
| id | doaj-art-4fe5ba64dfbb4b39b5ff075534413664 |
| institution | OA Journals |
| issn | 2399-6641 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-4fe5ba64dfbb4b39b5ff0755344136642025-08-20T02:17:40ZengBMJ Publishing GroupBMJ Open Quality2399-66412024-10-0113410.1136/bmjoq-2024-002843Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patientsAbby Victoria Winterberg0Stacie Richmond1Nathaniel T G Tighe2Jennifer Buckley3David Winthrop Buck4Anesthesiology, Cincinnati Children`s Hospital Medical Center, Cincinnati, Ohio, USAAnesthesiology, Cincinnati Children`s Hospital Medical Center, Cincinnati, Ohio, USAAnesthesiology, Cincinnati Children`s Hospital Medical Center, Cincinnati, Ohio, USAPatient Services, Cincinnati Children`s Hospital Medical Center, Cincinnati, Ohio, USAAnesthesiology, Cincinnati Children`s Hospital Medical Center, Cincinnati, Ohio, USAPaediatric patients often present with symptoms of respiratory illnesses in the weeks leading up to surgery. Current or recent illness can increase the risk of experiencing perioperative respiratory complications. Ideally, children with recent illnesses should be identified before coming to the hospital to determine the safest course of action. We recognised that our system lacked a standardised process for documenting preoperative respiratory illness during the preoperative phone call. The global aim of this quality improvement initiative was to decrease paediatric perioperative respiratory adverse events. The SMART Aim (Specific, Measurable, Achievable, Relevant and Time-bound) was to increase the percentage of patients with standardised documentation of preoperative respiratory illness from 0% to 90% by 1 March 2023. Implementation of a standardised preoperative illness questionnaire increased standardised illness documentation from 0% to 95%. Nurses quickly adopted this intervention and easily integrated it into their routine workflow. Clinical leaders elected to implement the intervention electronically across all three operating room (OR) locations (main OR, satellite location and procedure centre). Future implementation of additional standardised preoperative processes will be needed to improve the global aim of decreasing perioperative respiratory complications.https://bmjopenquality.bmj.com/content/13/4/e002843.full |
| spellingShingle | Abby Victoria Winterberg Stacie Richmond Nathaniel T G Tighe Jennifer Buckley David Winthrop Buck Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients BMJ Open Quality |
| title | Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| title_full | Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| title_fullStr | Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| title_full_unstemmed | Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| title_short | Implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| title_sort | implementation of a standardised questionnaire for documenting preoperative respiratory illness in paediatric patients |
| url | https://bmjopenquality.bmj.com/content/13/4/e002843.full |
| work_keys_str_mv | AT abbyvictoriawinterberg implementationofastandardisedquestionnairefordocumentingpreoperativerespiratoryillnessinpaediatricpatients AT stacierichmond implementationofastandardisedquestionnairefordocumentingpreoperativerespiratoryillnessinpaediatricpatients AT nathanieltgtighe implementationofastandardisedquestionnairefordocumentingpreoperativerespiratoryillnessinpaediatricpatients AT jenniferbuckley implementationofastandardisedquestionnairefordocumentingpreoperativerespiratoryillnessinpaediatricpatients AT davidwinthropbuck implementationofastandardisedquestionnairefordocumentingpreoperativerespiratoryillnessinpaediatricpatients |