Purpose
Postoperative nausea and vomiting (PONV) is one of the most common complications after
anesthesia. This evidence-based quality improvement (QI) project describes the implementation
of a PONV guideline and the impact on providers' compliance with PONV risk assessment
using the Apfel PONV score.
Design
A retrospective preimplementation and postimplementation QI project.
Methods
This evidence-based QI project sample included 294 adult female patients scheduled
for gynecologic or breast surgery in the ambulatory setting. They were observed for
PONV in the postanesthesia care unit. In addition, compliance of Apfel risk-assessment
score documentation on the preanesthesia evaluation form was assessed.
Findings
Postimplementation of the guideline, the overall incidence of PONV was significantly
lower (9.5% vs 21.1%, P = .009) and anesthesia providers' adherence to Apfel risk score documentation significantly
increased (63.3% vs 49%, P = .019).
Conclusions
A PONV guideline for gynecologic and breast surgery can reduce the PONV incidence
and improve anesthesia providers' compliance with PONV risk assessment and its documentation.
Keywords
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Biography
Samira Tabrizi, DNP, CRNA, Department of Anesthesia, New York-Presbyterian/Weill Cornell Medical Center, New York, NY
Biography
Vinod Malhotra, MBBS, MD, Department of Anesthesia, Weill Cornell Medicine Anesthesiology, New York, NY
Biography
Zachary A. Turnbull, MD, Department of Anesthesia, Weill Cornell Medicine Anesthesiology, New York, NY
Biography
Victoria Goode, PhD, CRNA, School of Nursing, Duke University, Durham, NC
Article Info
Publication History
Published online: February 01, 2019
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2018 by American Society of PeriAnesthesia Nurses
