The Gap between Compliance with the Quality Performance Measure "Perioperative Temperature Management" and Normothermia

Victoria M Steelman; Yelena S Perkhounkova; Jon H Lemke

doi:10.1111/jhq.12063

Back

The Gap between Compliance with the Quality Performance Measure "Perioperative Temperature Management" and Normothermia

Journal article

Peer reviewed

The Gap between Compliance with the Quality Performance Measure "Perioperative Temperature Management" and Normothermia

Victoria M Steelman, Yelena S Perkhounkova and Jon H Lemke

Journal for healthcare quality, Vol.37(6), pp.333-341

11/2015

DOI: 10.1111/jhq.12063

PMID: 24417607

View Online

Abstract

The National Quality Forum (NQF) has endorsed the process performance measure Perioperative Temperature Management, which is used by the Joint Commission and the Centers for Medicare and Medicaid Services. Compliance requires either using active warming intraoperatively or achieving normothermia near the end of anesthesia. Compliance may actually be achieved by using forced-air warming incorrectly and without maintaining normothermia. The aim of this study was to determine to what extent compliance with the NQF-endorsed quality performance measure, is congruent with normothermia at the end of the surgical procedure. This study describes the relationship between compliance with this measure and the outcome of normothermia upon admission to the postanesthesia care unit. A retrospective review was undertaken of patients undergoing surgery with general or neuraxial anesthesia during a 48-month period of time in a community hospital. A total of 5.8% of patients for whom the quality performance measure was met were hypothermic upon admission to the postanesthesia care unit. The greatest gaps between compliance with the measure and normothermia were found in urology (8.5%) and orthopedics (7.7%). Patients who receive care compliant with the quality performance measure by receiving active warming are still at risk for hypothermia.

Hypothermia - prevention & control

Humans

Middle Aged

Risk Factors

Child, Preschool

Infant

Male

Hospitals, Community

Quality Assurance, Health Care - statistics & numerical data

Adolescent

Aged, 80 and over

Perioperative Care - standards

Perioperative Care - statistics & numerical data

Adult

Female

Aged

Retrospective Studies

Child

Details

Title: Subtitle: The Gap between Compliance with the Quality Performance Measure "Perioperative Temperature Management" and Normothermia
Creators: Victoria M Steelman
Yelena S Perkhounkova
Jon H Lemke
Resource Type: Journal article
Publication Details: Journal for healthcare quality, Vol.37(6), pp.333-341
DOI: 10.1111/jhq.12063
PMID: 24417607
ISSN: 1062-2551
eISSN: 1945-1474
Language: English
Date published: 11/2015
Academic Unit: Nursing
Record Identifier: 9984083881202771

Metrics

10 Record Views

14 Times Cited - Web of Science