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Related Experiment Video

Updated: Mar 13, 2026

Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
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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).

Journal of Nursing Care Quality
|October 28, 2016
PubMed
Summary
This summary is machine-generated.

Implementing an evidence-based alcohol withdrawal protocol in hospitals significantly reduced restraint use, critical care transfers, and length of stay. This quality improvement initiative also enhanced nurses

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Area of Science:

  • Quality Improvement in Healthcare
  • Acute Care Medicine
  • Addiction Treatment Protocols

Background:

  • Alcohol withdrawal syndrome (AWS) presents significant challenges in acute care settings.
  • Standardized protocols for AWS management are crucial for optimizing patient outcomes and resource utilization.

Purpose of the Study:

  • To evaluate the effectiveness of an evidence-based alcohol withdrawal protocol in an acute care setting.
  • To assess the impact of protocol implementation on patient outcomes, length of stay, and nursing staff knowledge and satisfaction.

Main Methods:

  • A quality improvement project comparing pre- and post-implementation data.
  • Evaluation of patient outcomes including restraint use, critical care transfers, 1:1 observation, and length of stay.
  • Assessment of nursing staff knowledge and satisfaction with care related to alcohol withdrawal management.

Main Results:

  • Significant reductions observed in restraint use, transfers to critical care, 1:1 observation, and overall length of stay.
  • No significant reduction in rapid response calls was noted post-implementation.
  • Increased nursing staff knowledge and improved satisfaction with patient care following protocol education.

Conclusions:

  • Implementation of an evidence-based alcohol withdrawal protocol is effective in improving patient outcomes and operational efficiency in acute care.
  • The protocol positively impacts nursing staff by increasing knowledge and job satisfaction.
  • Further investigation may be warranted to address areas such as rapid response call reduction.