Simplified Airway Risk Index and The Electronic Health Record
dc.contributor.author | Smith, Alexie | |
dc.contributor.author | Winner, Lori Ann | |
dc.contributor.author | Polomano, Rosemary | |
dc.date | 2023-05-17T22:01:16.000 | |
dc.date.accessioned | 2023-05-22T14:45:55Z | |
dc.date.available | 2019-04-26T00:00:00Z | |
dc.date.issued | 2019-04-26 | |
dc.date.submitted | 2019-04-26T10:08:19-07:00 | |
dc.description.abstract | Abstract 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.uri | https://repository.upenn.edu/handle/20.500.14332/27558 | |
dc.legacy.articleid | 1004 | |
dc.legacy.fields | Nursing | |
dc.source.issue | 37 | |
dc.source.journal | Doctor of Nursing Practice (DNP) Projects | |
dc.source.status | published | |
dc.subject.other | Difficult airway management | |
dc.subject.other | cannot intubate | |
dc.subject.other | Nursing | |
dc.subject.other | Post-BSN for Nurse Anesthetists (DNP-NA) | |
dc.title | Simplified Airway Risk Index and The Electronic Health Record | |
dc.type | Other | |
digcom.contributor.author | isAuthorOfPublication|email:alexie@upenn.edu|Smith, Alexie | |
digcom.contributor.author | Polomano, Rosemary | |
digcom.contributor.author | isAuthorOfPublication|email:Wiseleya@nursing.upenn.edu|Winner, Lori Ann | |
digcom.date.embargo | 2019-04-26T00:00:00-07:00 | |
digcom.identifier | dnp_projects/37 | |
digcom.identifier.contextkey | 14367778 | |
digcom.identifier.submissionpath | dnp_projects/37 | |
digcom.type | project | |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | ee448bac-338a-48a1-be85-cbbbe1a003db | |
relation.isAuthorOfPublication | 6d79677f-8f7f-46f2-a877-318f02c9319e | |
relation.isAuthorOfPublication.latestForDiscovery | ee448bac-338a-48a1-be85-cbbbe1a003db | |
upenn.schoolDepartmentCenter | Doctor of Nursing Practice (DNP) Projects |