TY  - GEN
N2  - 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.
DO  - 10.6083/bpxhc43348
DO  - doi
AB  - 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.
AD  - Oregon Health and Science University
T1  - Improving malignant hyperthermia education for the non-operating room environment through high-fidelity simulation: A quality improvement project
DA  - 2023-06-10
AU  - Kreglo, Brenna + Nakahara, Ron 
L1  - https://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
PB  - Oregon Health and Science University
LA  - eng
PY  - 2023-06-10
ID  - 43348
L4  - https://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
KW  - NORA + Non-operating room anesthesia + malignant hyperthermia + simulation 
TI  - Improving malignant hyperthermia education for the non-operating room environment through high-fidelity simulation: A quality improvement project
Y1  - 2023-06-10
L2  - https://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
LK  - https://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
UR  - https://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
ER  -