000043348 001__ 43348
000043348 005__ 20240613124935.0
000043348 0247_ $$2doi$$a10.6083/bpxhc43348
000043348 037__ $$aETD
000043348 041__ $$aeng
000043348 245__ $$aImproving malignant hyperthermia education for the non-operating room environment through high-fidelity simulation: A quality improvement project
000043348 260__ $$bOregon Health and Science University
000043348 269__ $$a2023-06-10
000043348 336__ $$aScholarly project
000043348 502__ $$bD.N.P.
000043348 502__ $$gNurse Anesthesia
000043348 520__ $$aBACKGROUND: Malignant hyperthermia (MH) is a rare medical crisis that carries a dramatically decreased mortality rate when treated promptly. Training is not routine in the non- operating room anesthesia (NORA) setting. As NORA is becoming more prevalent, NORA clinical staff must have the appropriate training to respond to this emergency.
PURPOSE: The purpose of this quality improvement (QI) project was to improve the education of NORA clinical staff in the identification and management of MH. A secondary aim was to identify local institutional barriers in responding to an MH crisis and thus revise the standard operating procedures (SOP) accordingly.
METHODS: This project occurred at a single-center acute care medical facility. A total of 69 registered nurses, licensed practical nurses, and technicians participated in ten high-fidelity in situ MH simulations. Staff education was evaluated using pre- and post-simulation knowledge quizzes. Staff confidence surrounding MH was evaluated through Likert self-evaluations, debriefings, and thematic analysis. Simulations were observed to guide changes to the SOP. RESULTS: Participants’ mean knowledge quiz scores improved from 60% to 89% post- intervention (p<0.001). Mean Likert scores improved from 2.6 to 4.4 pre- and post-simulation respectively (p<0.001), demonstrating a significant improvement in confidence in the management of MH. Qualitative feedback identifying barriers in the MH response guided appropriate changes to the SOP.
CONCLUSION: High-fidelity, in-situ simulation was an effective method to improve NORA staff education and make meaningful improvements to the facility’s MH SOP. Expansion of MH training into NORA areas presents a potential QI opportunity for other institutions to explore.
000043348 540__ $$fCC BY
000043348 542__ $$fIn copyright - joint owners
000043348 6531_ $$aNORA + Non-operating room anesthesia + malignant hyperthermia + simulation 
000043348 691__ $$aSchool of Nursing$$041370
000043348 7001_ $$aKreglo, Brenna + Nakahara, Ron $$uOregon Health and Science University$$041354
000043348 8564_ $$949f15cd4-71e0-450f-a9d7-e876a121ec18$$s3139476$$uhttps://digitalcollections.ohsu.edu/record/43348/files/Kreglo%2C%20B.%20Final%20703b%20Library%20Submission.pdf
000043348 909CO $$ooai:digitalcollections.ohsu.edu:43348$$pstudent-work
000043348 980__ $$aTheses and Dissertations
000043348 981__ $$aPublished$$b2024-06-13