A Prospective Randomized Evaluation of an Intraoperative Electronic Reminder Module to Enhance Postoperative Nausea and Vomiting Prophylaxis Guideline Adherence
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Incidence of postoperative nausea and vomiting
研究概览
简要总结
This project intends to develop and implement an electronic reminder for post-operative nausea and vomiting (PONV) prophylaxis into the Anesthesia Record Keeping System.
Each patient will have his or her PONV risk classified based on the following risk factors: Female gender, History of PONV, History of Motion Sickness, Non-smoker and Duration of procedure > 60 minutes.
Patients will be randomized to either receive the PONV reminder or not. Those receiving the PONV reminder will have the PONV risk assessment and current guideline information for PONV prophylaxis displayed on the Anesthesia Record Keeping System (ARKS) screen at the beginning of the case.
At the end of the procedure (specific at documentation of emergence), the reminder will assess the current status of PONV prophylaxis as per anti-emetic medications administered and compare the current status to the recommended status based on published guidelines.
If the current status is compatible or exceeds the recommended status the reminder will silently document compliance.
If published guidelines suggest additional PONV prophylaxis based on the patients risk profile and a comparison with the currently documented status, an electronic reminder will appear on the ARKS screen to alert the anesthesia provider of an opportunity to enhance guideline adherence.
The reminder will not recommend a specific medication, intervention or therapy.
It will be completely the decision of the anesthesia provider if and how to modify the PONV prophylaxis for the patient.
Subjects randomized to not receive the electronic display will have it deactivated.
详细描述
Each patient will have his or her PONV risk classified based on the following risk factors Female gender, History of PONV or Motion Sickness, Non-smoker and Duration of procedure > 60 min utilizing information already entered into the Anesthesia Record Keeping System. Patients having 0-1 risks factors present will be low risk. 2 risks factors present are medium risk and more than 2 risk factors present are high risk.
Patients will be randomized to either receive the PONV reminder or not. Those receiving the PONV reminder will have the PONV risk assessment and current guideline information for PONV prophylaxis will be displayed on the ARKS screen at the beginning of the case.
In a second step at the end of the procedure (specific at documentation of emergence), the reminder will assess the current status of PONV prophylaxis as per anti-emetic medications administered and compare the current status to the recommended status based on published guidelines.
If the current status is compatible or exceeds the recommended status the reminder will silently document compliance.
If published guidelines suggest additional PONV prophylaxis based on the patients risk profile and a comparison with the currently documented status, an electronic reminder will appear on the ARKS screen to alert the anesthesia provider of an opportunity to enhance guideline adherence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Procedure with General Anesthesia
排除标准
- •Postoperative admission to the Intensive Care Unit
- •Postoperative fast-track to Phase II
- •Patient remains sedated/intubated at the end of the procedure
研究组 & 干预措施
PONV Reminder
After patient has non-cardiac surgery, the subject will have Post-Operative Nausea and Vomiting Reminder display
干预措施: Postoperative nausea and vomiting (PONV) reminder (Other)
No PONV Reminder
After patient has non-cardiac surgery, the subject will not have Post-Operative Nausea and Vomiting Reminder display
结局指标
主要结局
Incidence of postoperative nausea and vomiting
时间窗: 6 hours
Incidence of postoperative nausea and vomiting in the recovery room
次要结局
- Duration of postoperative anesthesia care unit (PACU) stay(6 hours)