Rapid Improvement Project: Improving Caregivers' Understanding of Safety Recommendations for Neurosurgical Devices. Issue 1 (28th January 2021)

• Record Type: Journal Article
• Authors: Anokwute, Miracle C.; Seibold, Dianne; Jea, Andrew; Ackerman, Laurie L.; Raskin, Jeffrey S.
• Is Part Of: Pediatric quality & safety. Volume 6:Issue 1(2021)
• Page Start: e376
• Publication Date: 2021-01-28
• Subjects: Pediatric nursing -- Periodicals; Pediatrics -- Periodicals; Patients -- Safety measures -- Periodicals; Children -- Hospital care -- Periodicals; 618.92
• DOI: 10.1097/pq9.0000000000000376
• Languages: English
• ISSNs: 2472-0054

Abstract

Abstract : Supplemental Digital Content is available in the text. Abstract : Introduction: There has been a proliferation in the development of indwelling neuromodulatory devices with varied safety recommendations, making it difficult for providers to remain up-to-date. This deficit presents an opportunity for significant improvement in patient safety. Methods: We performed a search for monopolar electrocautery and magnetic resonance imaging safety recommendations for several indwelling neuromodulatory devices. We developed a questionnaire followed by an educational compendium and a posttest for 50 care providers. Results: Overall, there was a poor performance on the pretest (mean 39%, SD 19%) but significant improvement on the posttest (mean 71%, SD 16%), P < 0.0001. We placed the educational compendium that included all manufacturer recommendations in the operating room for easy reference. A 2.4 times decrease in the case start times of vagus nerve stimulator cases is evidence of its effectiveness. Conclusions: The authors highlight the lack of knowledge about manufacturer safety recommendations for indwelling neurosurgical devices, which led to the creation of operating room supplements and educational devices.