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STOP-BANG and Postoperative Outcomes Public Deposited

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Dr. Meghan Haman Achu. Stop-bang and Postoperative Outcomes. . n272. https://saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?locale=en

APA citation style

Dr. Meghan Haman Achu. (n272). STOP-BANG and Postoperative Outcomes. https://saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?locale=en

Chicago citation style

Dr. Meghan Haman Achu. Stop-Bang and Postoperative Outcomes. n272. https://saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?locale=en

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  • Problem Statement: Obstructive sleep apnea (OSA) is a sleep-associated breathing disorder that affects 14% of men and 4% of women in the United States, with an estimated 12 to 18 million adults having undiagnosed OSA (Deslate et al., 2021). Patients with OSA are at increased risk for peri- and postoperative complications; screening with the STOP-BANG questionnaire and utilizing its results in anesthesia care decrease these complications (Seet et al., 2015). Purpose: The purpose of this project was to increase the documentation of the STOP-BANG Questionnaire for preoperative assessment of patients undergoing outpatient surgery among anesthesia providers at Adams Memorial Hospital. Inclusion criteria: The project participants were all full-time anesthesia providers, including an anesthesiologist and three CRNAs in the ambulatory care unit at Adams Memorial Hospital. Methods: The main aim of the quality improvement (QI) project was to significantly increase providers usage and the documentation of the STOP-BANG assessment tool (questionnaire) on outpatient surgical patients at Adams Memorial Hospital. The interventions implemented were a ten-minute PowerPoint presentation and placement of laminated STOP-BANG questionnaire in each pre-operative room. A chart review was performed pre and post intervention to evaluate for improved practice changes Results: Pre- to post- intervention chart reviews showed improvements in the completion and documentation of the STOP-BANG questionnaire in patients’ charts. Anesthesia Providers at AMH documented the STOP-BANG questionnaire with a 700% documentation in patient charts during the four-week post-intervention period. Pre-implementation chart review had five charts with completed STOP-BANG questionnaires, and a post-implementation chart review had 40 charts with completed STOP-BANG questionnaires, thus the 700% increase in the completion of the STOP-BANG questionnaire. Implications: The anesthesia providers at AMH needed education on the completion and documentation of the STOP-BANG questionnaire. Future recommendations include episodic education to remind the anesthesia providers of the importance of completing and documenting a STOP-BANG questionnaire in future care practices.
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