Simplified Airway Risk Index and The Electronic Health Record

dc.contributor.authorSmith, Alexie
dc.contributor.authorWinner, Lori Ann
dc.contributor.authorPolomano, Rosemary
dc.date2023-05-17T22:01:16.000
dc.date.accessioned2023-05-22T14:45:55Z
dc.date.available2019-04-26T00:00:00Z
dc.date.issued2019-04-26
dc.date.submitted2019-04-26T10:08:19-07:00
dc.description.abstractAbstract Background and Relevance: Despite advanced airway management practices, unanticipated airway complications remain. Intubation failures are estimated at 0.1%, and difficult tracheal intubation at 7.4%.1 Critical care nurses, intensivists and anesthesia providers must be aware of potential factors for high risk for airway management. Local Problem and Purpose/Objectives: Intubation complications may cause comorbidities and death.1 A quality improvement (QI) project examined discrepancies between a standardized checklist, the Simplified Airway Risk Index (SARI), and electronic health record (EHR) documentation. Methods: This descriptive QI project conforming to SQUIRE 2.0 Guidelines was conducted in an academic medical center and involved a systematic evaluation of airway management risk in 120 critically ill patients. SARI scoring criteria (high-risk score ≥ 4) was obtained from EHR information and patient assessments performed by specially trained critical care nurses. Interventions: A DNP Nurse Anesthesia student collected and validated all findings. After determining a SARI risk score, a review of EHR documentation was conducted to support SARI scores. Data was analyzed using descriptive statistics, intraclass correlation coefficient (ICC), and linear regression analysis. Results: The SARI classified 23.3% (n = 28) of patients as high risk for difficult airway management, but only 2.5% (n = 3) of patients were identified in the EHR (ICC = .006, P = .448 indicating poor reliability between data sources). Neither age, gender or body mass index predicted SARI scores (P = .935). Conclusions: The discrepancy between the SARI scoring and EHR documentation supports the need for standardized methods to identify airway management risks.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/27558
dc.legacy.articleid1004
dc.legacy.fieldsNursing
dc.source.issue37
dc.source.journalDoctor of Nursing Practice (DNP) Projects
dc.source.statuspublished
dc.subject.otherDifficult airway management
dc.subject.othercannot intubate
dc.subject.otherNursing
dc.subject.otherPost-BSN for Nurse Anesthetists (DNP-NA)
dc.titleSimplified Airway Risk Index and The Electronic Health Record
dc.typeOther
digcom.contributor.authorisAuthorOfPublication|email:alexie@upenn.edu|Smith, Alexie
digcom.contributor.authorPolomano, Rosemary
digcom.contributor.authorisAuthorOfPublication|email:Wiseleya@nursing.upenn.edu|Winner, Lori Ann
digcom.date.embargo2019-04-26T00:00:00-07:00
digcom.identifierdnp_projects/37
digcom.identifier.contextkey14367778
digcom.identifier.submissionpathdnp_projects/37
digcom.typeproject
dspace.entity.typePublication
relation.isAuthorOfPublicationee448bac-338a-48a1-be85-cbbbe1a003db
relation.isAuthorOfPublication6d79677f-8f7f-46f2-a877-318f02c9319e
relation.isAuthorOfPublication.latestForDiscoveryee448bac-338a-48a1-be85-cbbbe1a003db
upenn.schoolDepartmentCenterDoctor of Nursing Practice (DNP) Projects
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