Rapid Improvement Project: Improving Caregivers' Understanding of Safety Recommendations for Neurosurgical Devices

Miracle C. Anokwute, Dianne Seibold, Andrew Jea, Laurie L. Ackerman, Jeffrey S. Raskin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: There has been a proliferation in the development of indwelling neuromodulatory devices with varied safety recommendations, making it difficult for providers to remain up-to-date. This deficit presents an opportunity for significant improvement in patient safety. Methods: We performed a search for monopolar electrocautery and magnetic resonance imaging safety recommendations for several indwelling neuromodulatory devices. We developed a questionnaire followed by an educational compendium and a posttest for 50 care providers. Results: Overall, there was a poor performance on the pretest (mean 39%, SD 19%) but significant improvement on the posttest (mean 71%, SD 16%), P < 0.0001. We placed the educational compendium that included all manufacturer recommendations in the operating room for easy reference. A 2.4 times decrease in the case start times of vagus nerve stimulator cases is evidence of its effectiveness. Conclusions: The authors highlight the lack of knowledge about manufacturer safety recommendations for indwelling neurosurgical devices, which led to the creation of operating room supplements and educational devices.

Original languageEnglish (US)
Article numbere376
JournalPediatric Quality and Safety
Volume6
Issue number1
DOIs
StatePublished - Jan 28 2021

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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