STOP-BANG and Postoperative Outcomes
Public DepositedMLA citation style (9th ed.)
. n272. saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?q=June%2027,%202022. Stop-bang and Postoperative Outcomes.APA citation style (7th ed.)
(n272). STOP-BANG and Postoperative Outcomes. https://saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?q=June%2027,%202022Chicago citation style (CMOS 17, author-date)
Stop-Bang and Postoperative Outcomes. n272. https://saint-francis.hykucommons.org/concern/generic_works/c583e369-2834-42fb-bcca-2dbd68f0718c?q=June%2027,%202022.Note: These citations are programmatically generated and may be incomplete.
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- Abstract
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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