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Educational interventions significantly improved healthcare provider knowledge and confidence in managing rare anterior cervical surgery complications like retropharyngeal hematoma (RH). Standardized protocols enhance patient safety.

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Area of Science:

  • Neurosurgery
  • Patient Safety
  • Medical Education

Background:

  • Anterior cervical surgery (ACS) can lead to feared postoperative complications, such as retropharyngeal hematoma (RH).
  • Recent reports question the safety of outpatient ACS due to management failures of RH.
  • Effective management of rare complications is crucial for patient safety.

Purpose of the Study:

  • To assess healthcare professionals' knowledge of minimizing post-ACS complications.
  • To evaluate the effectiveness of an educational intervention and a standardized safety protocol (No S.C.A.R.E.) in improving knowledge and confidence.
  • To address concerns regarding ACS safety in an outpatient setting.

Main Methods:

  • A pre- and post-intervention test was administered to 20 healthcare professionals (4 surgeons, 16 ancillary providers).
  • Knowledge gaps regarding post-ACS complication management were assessed.
  • An educational module and the No S.C.A.R.E. protocol were implemented, followed by re-testing.

Main Results:

  • Significant knowledge gaps existed between surgeons and ancillary providers pre-intervention (92.3% vs. 31.2%).
  • Post-intervention, nonsurgeon scores improved dramatically (31.2% to 86.1%, P < 0.01).
  • Provider confidence in managing complications also increased after the educational module.

Conclusions:

  • Educational modules and standardized protocols can benefit healthcare teams in managing rare complications like RH after ACS.
  • The No S.C.A.R.E. protocol implementation led to marked improvements in provider knowledge and confidence.
  • Recommends wider adoption of similar educational initiatives and protocols at institutions performing ACS.