Operational Excellence, Maine Medical Center
academic, medical center, patients, alcohol use disorder, critical care unit, quality improvement, ICU, root cause analysis, documentation, alcohol withdrawal, length of stay
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.
Rappold, Jospeh; Ontengco, Julianne; Trauma Service Providers; 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 Excellence. 36.
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