Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Authors (including presenting author) :
WONG WY (1), CHAN YY (1)
Affiliation :
(1) Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital (TWEH)
Introduction :
Obstruction Sleep Apnea (OSA) causes excessive daytime sleepiness, cardiometabolic problems that can affect individual’s mood and energy level (Hughes, Polnitsky & Lee-Chiong, 2017). Polysomnography (PSG) is a sleep study test for diagnosing sleep disorders. Therefore, proper PSG sensor placement is very important for accurate sleep pattern’s recording, where doctor can provide precise treatment plan and monitor patients’ response towards treatment. Sleep study test is provided and manipulated by nurses in Medical and Rehabilitation Department of TWEH including the connection of PSG. To provide accurate sleep study report, nurses are required to familiarize on each sensor usage to provide correct placement.
Objectives :
To enhance the knowledge and competency of nursing staff on PSG operation & hook up procedure.
To evaluate the effectiveness on the improvement strategies through nursing staff’s feedback on the improvement strategies and monitoring of incident related to incorrect PSG operation & hook up procedure.
Methodology :
From May to November 2023, total 13 nurses had participated in CQI program with on-site practical training on PSG operation and observation of displayed tracing of PSG. Instructional video and quick guide were prepared for nursing staff quick reference. All PSG sensors were labelled, and visual reminders are designed for nursing staff easy identification on the type and location of sensors with proper connections. And, checklist for independent checking of PSG operation and hook up procedures was revisited and refined. Nursing staff’s training record with post CQI program return demonstration is collected. Staff feedback was evaluated by self-designed questionnaires.
Result & Outcome :
Total 60 sleep studies were performed in program period, 100% staff compliance on performing independent checking by two nurses. No incident related to operation of PSG was made. Nursing staff showed positive feedback towards the CQI program. All nursing staff agreed enhancement of knowledge related to PSG operation. They agreed quick guide, checklist and visual reminder reference were useful in minimizing errors in PSG operation, become more competent in PSG patient care.
Conclusion
This CQI program made a success in enhancing nursing staff knowledge related PSG operation and confidence in PSG patient care. It is suggested to provide ongoing training yearly targeting not only to newly joined nursing staff but also serve as a refresher course.
