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Implementing an Alcohol Withdrawal Protocol: A Quality Improvement Project
Cynthia Holt1, Valorie Dearmon, Sherry M Lawrence
1Hunterdon Medical Center, Flemington, New Jersey (Drs Holt and Skotzko); and Adult Health Department, University of South Alabama College of Nursing, Mobile, Alabama (Drs Dearmon, Lawrence, and Lewis).
Abstract:
This quality improvement project evaluates the effectiveness of implementing an evidence-based alcohol withdrawal protocol in an acute care setting. Patient outcomes, length of stay, and nurses' knowledge and satisfaction with care are compared pre- and postimplementation. Implementation resulted in significant reduction of restraint use, transfers to critical care, 1:1 observation, and length of stay, whereas no reduction was seen in rapid response calls. Nurses' knowledge post-alcohol withdrawal protocol education increased and satisfaction with patient care improved.
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