Perioperative medicine & outcomes
Automated feedback modestly improves perioperative treatment adherence of postoperative nausea and vomiting
Authors' conclusion
PONV medication administration compliance modestly improves with CDS in conjunction with post-hoc reporting; however, no improvement in PACU rates of PONV occurred.
Study context
- Population
- Adults receiving GA in a non-emergency setting at a university-affiliated tertiary care centre, January 2015–June 2017
- Participants
- 57,401 adults
- Exposure
- Clinical decision support (CDS) with post-hoc feedback reporting on postoperative nausea and vomiting (PONV) prophylaxis over time
- Outcome
- Compliance with PONV medication recommendations and hospital rates of PONV
Methodological detailssingle-centre, multi-phased intervention
- Single-centre
- Multi-phased intervention
Main finding
As reported in the abstract
Compliance with PONV medication administration · Over the study period
Improvement in compliance of PONV medication administration
5.5%
95% CI 4.2% to 6.4%p < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| PONV rescue medication administration, Intervention Rollout PeriodPer month | 0.95 (0.91–0.99) | P = 0.017 | |
| PONV rescue medication administration, Feedback with CDS Recommendation PeriodPer month | 0.96 (0.94–0.99) | P = 0.013 | |
| 0.512Odds ratio (log scale) |
PONV rescue medication administration in the PACU · Over the study period
- Reduction in PONV rescue medication administration in the PACU
- 8.7% (95% CI, 7.1% to 10.2%, p < 0.001)
Original publication
Automated feedback modestly improves perioperative treatment adherence of postoperative nausea and vomiting. J Clin Anesth. Published 20 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →