Implementation of a New Guideline and Educational Sessions to Reduce Low-Value Continuous Pulse Oximetry Among Hospitalized Patients.

Authors:
Scott A Helgeson
Scott A Helgeson
Mayo Clinic
Chetek | United States
Andree H Koop
Andree H Koop
Mayo Clinic
Rochester | United States
Dr Andrew M Harrison, MD, PhD
Dr Andrew M Harrison, MD, PhD
Mayo Clinic
Postdoctoral researcher
Clinical Informatics
Rochester, MN | United States
Jordan C Ray
Jordan C Ray
Mayo Clinic
Dubai | United Arab Emirates
Gaja F Shaughnessy
Gaja F Shaughnessy
Mayo Clinic Florida
Christopher L Brett
Christopher L Brett
The Johns Hopkins University School of Medicine
United States
Cammi L Bowman
Cammi L Bowman
Mayo Clinic

South Med J 2018 02;111(2):87-92

From the Departments of Internal Medicine, Medical Scientist Training Program, and Nursing Administration, Mayo Clinic, Jacksonville, Florida.

Objectives: The use of continuous pulse oximetry (CPOX) is ubiquitous among hospitalized patients, despite limited evidence that it improves clinical outcomes. The objective of this study was to reduce the use of CPOX among hospitalized patients in the nonintensive care unit and nonprogressive care unit settings.

Methods: This interventional trial included the creation a new local guideline for CPOX use and subsequent staff education. CPOX use, patient acuity, hospital length of stay, and code blue events were measured before and after the intervention.

Results: Postintervention there was a clinically significant and sustained decrease in CPOX use of 18% over 1 year. There were no significant changes postintervention in hospital length of stay or number of code blue events.

Conclusions: Development of a guideline for CPOX use and staff education successfully led to a decrease in CPOX use, without an increase in hospital length of stay or code blue events.

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http://dx.doi.org/10.14423/SMJ.0000000000000766DOI Listing

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February 2018
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