@article{ETD,
      school = {D.N.P.},
      author = {Kreglo, Brenna + Nakahara, Ron },
      url = {http://digitalcollections.ohsu.edu/record/43348},
      title = {Improving malignant hyperthermia education for the  non-operating room environment through high-fidelity  simulation: A quality improvement project},
      publisher = {Oregon Health and Science University},
      abstract = {BACKGROUND: Malignant hyperthermia (MH) is a rare medical  crisis that carries a dramatically decreased mortality rate  when treated promptly. Training is not routine in the non-  operating room anesthesia (NORA) setting. As NORA is  becoming more prevalent, NORA clinical staff must have the  appropriate training to respond to this emergency.
PURPOSE:  The purpose of this quality improvement (QI) project was to  improve the education of NORA clinical staff in the  identification and management of MH. A secondary aim was to  identify local institutional barriers in responding to an  MH crisis and thus revise the standard operating procedures  (SOP) accordingly.
METHODS: This project occurred at a  single-center acute care medical facility. A total of 69  registered nurses, licensed practical nurses, and  technicians participated in ten high-fidelity in situ MH  simulations. Staff education was evaluated using pre- and  post-simulation knowledge quizzes. Staff confidence  surrounding MH was evaluated through Likert  self-evaluations, debriefings, and thematic analysis.  Simulations were observed to guide changes to the SOP.  RESULTS: Participants’ mean knowledge quiz scores  improved from 60% to 89% post- intervention (p<0.001). Mean  Likert scores improved from 2.6 to 4.4 pre- and  post-simulation respectively (p<0.001), demonstrating a  significant improvement in confidence in the management of  MH. Qualitative feedback identifying barriers in the MH  response guided appropriate changes to the SOP.
CONCLUSION:  High-fidelity, in-situ simulation was an effective method  to improve NORA staff education and make meaningful  improvements to the facility’s MH SOP. Expansion of MH  training into NORA areas presents a potential QI  opportunity for other institutions to explore.},
      number = {ETD},
      doi = {https://doi.org/10.6083/bpxhc43348},
      recid = {43348},
      address = {2023-06-10},
}