Improving the recording of surgical drain output.

2.50
Hdl Handle:
http://hdl.handle.net/11287/595591
Title:
Improving the recording of surgical drain output.
Authors:
Lyons, Nicholas J.; Heron, Paul; Bethune, Rob
Abstract:
Monitoring the output from surgical drains is an important part of post-operative care and is often undertaken poorly. Failure to have accurate documentation of daily outputs may delay the removal of drains and increase the risk of complications. Following discussions with medical and nursing staff we listed eight key criteria that should be routinely monitored for surgical drains. A baseline measurement demonstrated only 20% compliance with these criteria. As such we decided to design a chart, after discussing with the multidisciplinary team, with adequate space to document drain output clearly. Post-intervention data collection showed a reasonable uptake of the chart (70%) with overall criteria compliance increasing to 55%. We made further interventions designed to raise awareness of the chart, which increased chart uptake to 79% and compliance to 63%, leading to the adoption of the chart by the department. Twelve months after introducing the chart we conducted a final data collection which demonstrated the chart was now being used in 100% of patients and that overall criteria compliance had increased to 78%. While some of the key criteria are still not documented for all patients, we have demonstrated that the introduction of a simple and well-designed drain chart can significantly improve the documentation of drain output, thereby improving patient safety and discharge efficiency.
Citation:
Improving the recording of surgical drain output. 2015, 4 (1): BMJ Qual Improv Rep
Publisher:
BMJ
Journal:
BMJ quality improvement reports
Issue Date:
4-Sep-2015
URI:
http://hdl.handle.net/11287/595591
DOI:
10.1136/bmjquality.u209264.w3964
PubMed ID:
26732350
Additional Links:
http://qir.bmj.com/content/4/1/u209264.w3964
Note:
This article is freely available via Open Access. Click on the 'Additional Links' above to access the full text via the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
2050-1315
Appears in Collections:
2015 RD&E publications; Colorectal Surgery; Emergency Department; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorLyons, Nicholas J.en
dc.contributor.authorHeron, Paulen
dc.contributor.authorBethune, Roben
dc.date.accessioned2016-02-04T14:15:16Zen
dc.date.available2016-02-04T14:15:16Zen
dc.date.issued2015-09-04en
dc.identifier.citationImproving the recording of surgical drain output. 2015, 4 (1): BMJ Qual Improv Repen
dc.identifier.issn2050-1315en
dc.identifier.pmid26732350en
dc.identifier.doi10.1136/bmjquality.u209264.w3964en
dc.identifier.urihttp://hdl.handle.net/11287/595591en
dc.description.abstractMonitoring the output from surgical drains is an important part of post-operative care and is often undertaken poorly. Failure to have accurate documentation of daily outputs may delay the removal of drains and increase the risk of complications. Following discussions with medical and nursing staff we listed eight key criteria that should be routinely monitored for surgical drains. A baseline measurement demonstrated only 20% compliance with these criteria. As such we decided to design a chart, after discussing with the multidisciplinary team, with adequate space to document drain output clearly. Post-intervention data collection showed a reasonable uptake of the chart (70%) with overall criteria compliance increasing to 55%. We made further interventions designed to raise awareness of the chart, which increased chart uptake to 79% and compliance to 63%, leading to the adoption of the chart by the department. Twelve months after introducing the chart we conducted a final data collection which demonstrated the chart was now being used in 100% of patients and that overall criteria compliance had increased to 78%. While some of the key criteria are still not documented for all patients, we have demonstrated that the introduction of a simple and well-designed drain chart can significantly improve the documentation of drain output, thereby improving patient safety and discharge efficiency.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://qir.bmj.com/content/4/1/u209264.w3964en
dc.rightsArchived with thanks to BMJ quality improvement reports. This 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/en
dc.subjectWessex Classification Subject Headings::Surgeryen
dc.titleImproving the recording of surgical drain output.en
dc.typeJournal Articleen
dc.identifier.journalBMJ quality improvement reportsen
dc.description.noteThis article is freely available via Open Access. Click on the 'Additional Links' above to access the full text via the publisher's site.en
dc.type.versionPublisheden

Related articles on PubMed

This item is licensed under a Creative Commons License
Creative Commons
All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.