Pediatric anesthesia & critical care

Documentation of Core Temperature in Pediatric Patients Undergoing General Anesthesia: A Quality Improvement Initiative to Increase Compliance

Paediatr AnaesthPublished Quality improvement study

Authors' conclusion

We successfully increased compliance with standard ASA monitoring guidelines. By January 2024, 90% of pediatric patients undergoing general anesthesia for more than an hour in our dental OR had documented core temperature monitoring in the anesthetic record.

Study context

Population
Pediatric patients undergoing GA for more than an hour in a dental OR
Outcome
Percentage of patients with documented core temperature in the anesthetic record (SMART aim: from 10% to 60%)
Follow-up
October 2023
Methodological detailsModel for Improvement, Plan-Do-Study-Act cycles, single-institution, 5 interventions tested February–October 2023: educational email, posted sign in the OR, Morbidity and Mortality Conference, EHR pop-up reminder
  • Model for Improvement
  • Plan-Do-Study-Act cycles
  • Single-institution
  • 5 interventions tested February–October 2023: educational email, posted sign in the OR, Morbidity and Mortality Conference, EHR pop-up reminder

Main finding

As reported in the abstract

Documented core temperature monitoring
  • Increased from 10% to 60% by October 2023

Further findings

Documented core temperature monitoring · January 2024

Increased to 90% by January 2024

Original publication

Documentation of Core Temperature in Pediatric Patients Undergoing General Anesthesia: A Quality Improvement Initiative to Increase Compliance. Paediatr Anaesth. Published 20 March 2025. doi:10.1111/pan.15099

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