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Improving Multimodal Analgesia Medication Administration in a Total Joint Replacement Enhanced Recovery After Surgery Pathway
Improving Multimodal Analgesia Medication Administration in a Total Joint Replacement Enha...
Improving Multimodal Analgesia Medication Administration in a Total Joint Replacement Enhanced Recovery After Surgery Pathway

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103103
ISBN  
9798315703341
DDC  
610.73
저자명  
Morelen, Ashley Marie.
서명/저자  
Improving Multimodal Analgesia Medication Administration in a Total Joint Replacement Enhanced Recovery After Surgery Pathway
발행사항  
[Sl] : The University of North Carolina at Chapel Hill, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
47 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
주기사항  
Advisor: Vernon-Platt, Tracy.
학위논문주기  
Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2024.
초록/해제  
요약Enhanced Recovery After Surgery (ERAS) pathways are multidisciplinary, evidence-based care practices that improve patient outcomes following surgery and emphasize multimodal, opioid-sparing analgesia for pain management. The primary aim of this project was to meet the project site's 80% adherence goal to the preoperative multimodal analgesia component of a total joint replacement ERAS pathway.Analysis of orthopedic surgeons' order sets revealed variations in preoperative multimodal analgesia medication orders. A resource guide was created for anesthesiologists to supplement orthopedic surgeons' orders and meet ERAS requirements. Prior to project implementation, anesthesiologists received education on the ERAS pathway and resource guide. Three months of baseline data was compared to three months of project implementation data.Adherence to ERAS multimodal analgesia improved slightly between the baseline and project implementation periods but the 80% adherence goal was not achieved. Ongoing provider education, use of standardized order sets, and increased interdisciplinary involvement may improve ERAS pathway adherence.
일반주제명  
Nursing
일반주제명  
Biomedical engineering
일반주제명  
Surgery
키워드  
Pain management
키워드  
Anesthesiologists
키워드  
Orthopedic surgeons
키워드  
Enhanced Recovery After Surgery
기타저자  
The University of North Carolina at Chapel Hill Nursing
기본자료저록  
Dissertations Abstracts International. 86-11B.
전자적 위치 및 접속  
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MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a610.73
■1001  ▼aMorelen,  Ashley  Marie.
■24510▼aImproving  Multimodal  Analgesia  Medication  Administration  in  a  Total  Joint  Replacement  Enhanced  Recovery  After  Surgery  Pathway
■260    ▼a[Sl]▼bThe  University  of  North  Carolina  at  Chapel  Hill▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a47  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-11,  Section:  B.
■500    ▼aAdvisor:  Vernon-Platt,  Tracy.
■5021  ▼aThesis  (D.N.P.)--The  University  of  North  Carolina  at  Chapel  Hill,  2024.
■520    ▼aEnhanced  Recovery  After  Surgery  (ERAS)  pathways  are  multidisciplinary,  evidence-based  care  practices  that  improve  patient  outcomes  following  surgery  and  emphasize  multimodal,  opioid-sparing  analgesia  for  pain  management.  The  primary  aim  of  this  project  was  to  meet  the  project  site's  80%  adherence  goal  to  the  preoperative  multimodal  analgesia  component  of  a  total  joint  replacement  ERAS  pathway.Analysis  of  orthopedic  surgeons'  order  sets  revealed  variations  in  preoperative  multimodal  analgesia  medication  orders.  A  resource  guide  was  created  for  anesthesiologists  to  supplement  orthopedic  surgeons'  orders  and  meet  ERAS  requirements.  Prior  to  project  implementation,  anesthesiologists  received  education  on  the  ERAS  pathway  and  resource  guide.  Three  months  of  baseline  data  was  compared  to  three  months  of  project  implementation  data.Adherence  to  ERAS  multimodal  analgesia  improved  slightly  between  the  baseline  and  project  implementation  periods  but  the  80%  adherence  goal  was  not  achieved.  Ongoing  provider  education,  use  of  standardized  order  sets,  and  increased  interdisciplinary  involvement  may  improve  ERAS  pathway  adherence.
■590    ▼aSchool  code:  0153.
■650  4▼aNursing
■650  4▼aBiomedical  engineering
■650  4▼aSurgery
■653    ▼aPain  management
■653    ▼aAnesthesiologists
■653    ▼aOrthopedic  surgeons
■653    ▼aEnhanced  Recovery  After  Surgery
■690    ▼a0569
■690    ▼a0576
■690    ▼a0541
■71020▼aThe  University  of  North  Carolina  at  Chapel  Hill▼bNursing.
■7730  ▼tDissertations  Abstracts  International▼g86-11B.
■790    ▼a0153
■791    ▼aD.N.P.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356932▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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