Document Type
A3
Publication Date
9-5-2019
Institution/Department
Critical Care Medicine, Maine Medical Center
MeSH Headings
academic, medical center, patients, alcohol use disorder, critical care unit, quality improvement, ICU, root cause analysis, documentation, alcohol withdrawal, length of stay
Abstract
The trauma service in a large academic tertiary medical center admits a large proportion of patients with the secondary diagnosis of alcohol use disorder. Given the successful use of phenobarbital in the critical care unit for withdrawal prophylaxis and treatment of acute withdrawal, a quality improvement project was established to create and implement guidelines for the non ICU patient.
A root cause analysis demonstrated several issues to include inconsistent clinical decision documentation. As a result, several countermeasures were initiated to address the various issues.
Post implementation of countermeasures, a decrease in the amount of severe alcohol withdrawal as well as hospital length of stay were realized. Next steps include further data analysis and prepare for publication.
Recommended Citation
Rappold, Joseph; Ontengco, Julianne; Tyzik, Stephen; Nayak, Suneela; Hanselman, Ruth; and Sparks, Amy, "Implementation of Trauma Service Guideline for the Use of PHENObarbital in the Management of the NON-ICU TRAUMA Patient at Risk OR Experiencing Severe Alcohol Withdrawal" (2019). Operational Transformation. 36.
https://knowledgeconnection.mainehealth.org/opex/36
Included in
Critical Care Commons, Critical Care Nursing Commons, Health and Medical Administration Commons, Interprofessional Education Commons, Medicinal and Pharmaceutical Chemistry Commons, Nursing Administration Commons, Pharmacy Administration, Policy and Regulation Commons, Psychiatric and Mental Health Nursing Commons, Substance Abuse and Addiction Commons, Trauma Commons
