Perioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists.

2.50
Hdl Handle:
http://hdl.handle.net/11287/595572
Title:
Perioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists.
Authors:
Bola, Summy; Bartlett, Annie; Williams, Richard
Abstract:
Dexamethasone administration prior to tonsillectomy has been shown to reduce morbidity and is part of SIGN guideline 117. We conducted a three-cycle audit of 149 patients to ascertain how well guidelines were being met and introduce a sustainable method to improve compliance. A 3-month audit was conducted to ascertain how many tonsillectomy patients didn't receive pre-operative dexamethasone. ENT secretaries were requested to add 'Dex Please' to tonsillectomy theatre lists. A 3-month re-audit was conducted; the intervention was only implemented in half of cases and so a reminding tool for the secretarial staff was administered before a third cycle. Initially, there was 73% compliance to SIGN guidelines, this improved to 87% in the second cycle. After the second intervention, all tonsillectomy theatre lists had the 'Dex Please' note and compliance to SIGN guidelines was 100%. There were five readmissions in the first cycle, three in the second and two in the third cycle. All readmissions were underdosed according to guidelines. Understanding there are regular staff rotations throughout many U.K. hospitals, we implemented a reliable method to increase compliance to guidelines which helped reduce post-operative readmission after tonsillectomy. This can be easily introduced to other institutions and for other perioperative requirements.
Citation:
Perioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists. 2015, 4 (1): BMJ Qual Improv Rep
Publisher:
BMJ
Journal:
BMJ quality improvement reports
Issue Date:
Jun-2015
URI:
http://hdl.handle.net/11287/595572
DOI:
10.1136/bmjquality.u208428.w3339
PubMed ID:
26734456
Additional Links:
http://dx.doi.org/10.1136%2Fbmjquality.u208428.w3339
Note:
This article is freely available via Open Access. Click on the 'Additional Link' above to access the full-text from the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
2050-1315
Appears in Collections:
2015 RD&E publications; ENT (Ear, Nose & Throat)

Full metadata record

DC FieldValue Language
dc.contributor.authorBola, Summyen
dc.contributor.authorBartlett, Annieen
dc.contributor.authorWilliams, Richarden
dc.date.accessioned2016-02-04T11:43:31Zen
dc.date.available2016-02-04T11:43:31Zen
dc.date.issued2015-06en
dc.identifier.citationPerioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists. 2015, 4 (1): BMJ Qual Improv Repen
dc.identifier.issn2050-1315en
dc.identifier.pmid26734456en
dc.identifier.doi10.1136/bmjquality.u208428.w3339en
dc.identifier.urihttp://hdl.handle.net/11287/595572en
dc.description.abstractDexamethasone administration prior to tonsillectomy has been shown to reduce morbidity and is part of SIGN guideline 117. We conducted a three-cycle audit of 149 patients to ascertain how well guidelines were being met and introduce a sustainable method to improve compliance. A 3-month audit was conducted to ascertain how many tonsillectomy patients didn't receive pre-operative dexamethasone. ENT secretaries were requested to add 'Dex Please' to tonsillectomy theatre lists. A 3-month re-audit was conducted; the intervention was only implemented in half of cases and so a reminding tool for the secretarial staff was administered before a third cycle. Initially, there was 73% compliance to SIGN guidelines, this improved to 87% in the second cycle. After the second intervention, all tonsillectomy theatre lists had the 'Dex Please' note and compliance to SIGN guidelines was 100%. There were five readmissions in the first cycle, three in the second and two in the third cycle. All readmissions were underdosed according to guidelines. Understanding there are regular staff rotations throughout many U.K. hospitals, we implemented a reliable method to increase compliance to guidelines which helped reduce post-operative readmission after tonsillectomy. This can be easily introduced to other institutions and for other perioperative requirements.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://dx.doi.org/10.1136%2Fbmjquality.u208428.w3339en
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/. Archived with thanks to BMJ.en
dc.subjectWessex Classification Subject Headings::Surgeryen
dc.titlePerioperative dexamethasone administration in tonsillectomy patients: A three-cycle audit showing improvement using printed theatre lists.en
dc.typeJournal Articleen
dc.identifier.journalBMJ quality improvement reportsen
dc.description.noteThis article is freely available via Open Access. Click on the 'Additional Link' above to access the full-text from the publisher's site.en
dc.type.versionPublisheden

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