Compliance evaluation in post-anesthesia care units at teaching hospitals in Alborz Province, Iran

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2024-11-13 DOI:10.1016/j.pcorm.2024.100445

Leila Sadati , Mohsen Khalilnejad , Dorrin Nikbakht , Sahar Karami , Fatemeh Tavakoli , Rana Abjar

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Abstract

Background

The post-anesthesia care unit (PACU) is a critical care unit where postoperative patients are monitored and cared for until full recovery. Evaluating standards in different domains is crucial for providing quality care. This study aims to assess the compliance of design, equipment, drugs, and staff performance standards in PACUs of teaching hospitals of Alborz Province, Iran.

Methods

This cross-sectional study was conducted between January 2023 and September 2023. Data were gathered using a 40-item checklist covering physical structure, equipment/drugs, and staff performance. For the latter, a 360-degree appraisal (self-assessment, internal evaluator, external evaluator) was done.

Results

Among the three standard domains, performance had the highest average compliance at 80.72 %, followed by equipment/drugs at 75.33 %. Design/structure had the lowest compliance at 54 %.

Conclusion

Given the lack of full compliance in PACU design, equipment, and certain aspects of patient care, healthcare managers and policymakers must prioritize improving post-anesthesia care unit infrastructure, equipment provision, and staff training. Implementing continuous education programs with effective teaching methods is crucial for enhancing care quality and preparing future healthcare professionals in these teaching hospitals.

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伊朗阿尔伯兹省教学医院麻醉后护理病房的合规性评估

背景麻醉后护理病房（PACU）是一个重症监护病房，术后病人在这里接受监测和护理，直至完全康复。评估不同领域的标准对提供优质护理至关重要。本研究旨在评估伊朗阿尔伯兹省教学医院 PACU 在设计、设备、药物和员工绩效标准方面的达标情况。方法本横断面研究于 2023 年 1 月至 2023 年 9 月期间进行。数据收集采用了一份包含 40 个项目的核对表，内容涵盖物理结构、设备/药品和员工绩效。结果在三个标准领域中，绩效的平均达标率最高，为 80.72%，其次是设备/药品，为 75.33%。结论鉴于 PACU 的设计、设备和患者护理的某些方面未完全达标，医疗管理人员和政策制定者必须优先改善麻醉后护理单元的基础设施、设备供应和人员培训。在这些教学医院中，采用有效的教学方法实施继续教育计划对于提高护理质量和培养未来的医护专业人员至关重要。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.