A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients
Patients following cardiac surgery commonly experience post-operative delirium (POD) during their postoperative hospital stay. A multifaceted, specialty wide, quality improvement (QI) project was undertaken for patients experiencing POD. The goal was to develop a reduction in POD care bundle (rPOD-a...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-11-01
|
| Series: | Geriatrics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3417/6/4/111 |
| _version_ | 1797504195001057280 |
|---|---|
| author | Rohan M. Sanjanwala Brett Hiebert David Kent Sandy Warren Hilary Grocott Rakesh C. Arora |
| author_facet | Rohan M. Sanjanwala Brett Hiebert David Kent Sandy Warren Hilary Grocott Rakesh C. Arora |
| author_sort | Rohan M. Sanjanwala |
| collection | DOAJ |
| description | Patients following cardiac surgery commonly experience post-operative delirium (POD) during their postoperative hospital stay. A multifaceted, specialty wide, quality improvement (QI) project was undertaken for patients experiencing POD. The goal was to develop a reduction in POD care bundle (rPOD-a structured patient care program) that encompasses efficient preoperative risk factor identification and a postoperative patient-care process to ensure early POD identification and treatment. The following steps were taken to implement the rPOD care bundle including: (a) Developing a quality driven, evidence-based guideline for the perioperative cardiac surgery health care team, (b) identifying and addressing local barriers to implementation, (c) selecting performance measures to assess intervention adherence and patient outcomes, and (d) ensuring that all patients receive the interventions through staff engagement and education, and regular project evaluation. Trends of process measures and quality improvement measures were examined. An increasing trend in the rate of postoperative delirium screening during implementation of rPOD intervention was demonstrated. This quality improvement study provides a bases for future postoperative delirium reduction interventions. |
| first_indexed | 2024-03-10T04:01:12Z |
| format | Article |
| id | doaj.art-2cc4f31815b84358a4e075aed5df224c |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-10T04:01:12Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-2cc4f31815b84358a4e075aed5df224c2023-11-23T08:32:56ZengMDPI AGGeriatrics2308-34172021-11-016411110.3390/geriatrics6040111A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery PatientsRohan M. Sanjanwala0Brett Hiebert1David Kent2Sandy Warren3Hilary Grocott4Rakesh C. Arora5Cardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaCardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaCardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaCardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaCardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaCardiac Science Program, St Boniface Hospital, Winnipeg, MB R2H 2A6, CanadaPatients following cardiac surgery commonly experience post-operative delirium (POD) during their postoperative hospital stay. A multifaceted, specialty wide, quality improvement (QI) project was undertaken for patients experiencing POD. The goal was to develop a reduction in POD care bundle (rPOD-a structured patient care program) that encompasses efficient preoperative risk factor identification and a postoperative patient-care process to ensure early POD identification and treatment. The following steps were taken to implement the rPOD care bundle including: (a) Developing a quality driven, evidence-based guideline for the perioperative cardiac surgery health care team, (b) identifying and addressing local barriers to implementation, (c) selecting performance measures to assess intervention adherence and patient outcomes, and (d) ensuring that all patients receive the interventions through staff engagement and education, and regular project evaluation. Trends of process measures and quality improvement measures were examined. An increasing trend in the rate of postoperative delirium screening during implementation of rPOD intervention was demonstrated. This quality improvement study provides a bases for future postoperative delirium reduction interventions.https://www.mdpi.com/2308-3417/6/4/111postoperative deliriumpostoperative carequality improvementcardiac surgerycare strategies |
| spellingShingle | Rohan M. Sanjanwala Brett Hiebert David Kent Sandy Warren Hilary Grocott Rakesh C. Arora A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients Geriatrics postoperative delirium postoperative care quality improvement cardiac surgery care strategies |
| title | A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients |
| title_full | A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients |
| title_fullStr | A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients |
| title_full_unstemmed | A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients |
| title_short | A Quality Improvement Initiative to Reduce Postoperative Delirium among Cardiac Surgery Patients |
| title_sort | quality improvement initiative to reduce postoperative delirium among cardiac surgery patients |
| topic | postoperative delirium postoperative care quality improvement cardiac surgery care strategies |
| url | https://www.mdpi.com/2308-3417/6/4/111 |
| work_keys_str_mv | AT rohanmsanjanwala aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT bretthiebert aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT davidkent aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT sandywarren aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT hilarygrocott aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT rakeshcarora aqualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT rohanmsanjanwala qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT bretthiebert qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT davidkent qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT sandywarren qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT hilarygrocott qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients AT rakeshcarora qualityimprovementinitiativetoreducepostoperativedeliriumamongcardiacsurgerypatients |