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Discharge following sedation for endoscopic procedures: a best practice implementation project.
Xianli Cai1,2, Alexa McArthur3
1Zhongshan Hospital of Fudan University, Shanghai, China.
JBI Evidence Synthesis
|January 3, 2020
Summary
This study improved patient discharge practices for sedated patients after endoscopy in Shanghai. Implementing evidence-based strategies led to full compliance with key discharge criteria, enhancing patient safety.
Area of Science:
- Healthcare Quality Improvement
- Clinical Evidence Application
- Patient Safety in Endoscopy
Background:
- Effective discharge of sedated patients post-endoscopy is critical for patient safety.
- Current practices may not consistently meet best-practice recommendations.
Purpose of the Study:
- To promote and implement best discharge practices for sedated patients undergoing endoscopic procedures.
- To enhance patient safety through improved discharge protocols in a tertiary endoscopy center.
Main Methods:
- A clinical audit using the JBI Practical Application of Clinical Evidence System tool was conducted.
- Eight best-practice criteria for post-endoscopy discharge were assessed through baseline and follow-up audits.
- Evidence-based strategies were implemented based on stakeholder input to improve compliance.
Main Results:
- Significant improvements were observed across all eight audit criteria following strategy implementation.
- Full compliance (0% to 100%) was achieved for organizational policy, minimum discharge criteria, and discharge instructions.
- Documentation of discharge care plans improved from 0% to 88% compliance.
Conclusions:
- The project successfully enhanced discharge care for sedated patients post-endoscopy.
- A formalized organizational discharge policy is now in place.
- Continuous audit and re-audit are recommended to maintain high-quality discharge practices.
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