Opioid Safety in Operating Theatres
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Reduce opioid-related adverse events in OT requiring naloxone, achieving Six Sigma Level 5. Patient harm from opioid use was reduced significantly through education and workflow optimization.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Adherence Rate, Risk Management, Preventive Approach
About this Content
Aims
Reduce opioid-related adverse events in OT requiring naloxone, achieving Six Sigma Level 5.
Background
Baseline naloxone use for adverse events was 280 cases per million opportunities.
Methods
Conducted education, case-based discussions, audits, and workflow improvements via PDSA cycles.
Results
Naloxone cases reduced to 52 cases per million; safety level improved to Six Sigma Level 5.
Conclusion
Patient harm from opioid use was reduced significantly through education and workflow optimization.
Lessons Learnt
Education and process improvements successfully reduced adverse events and increased team collaboration.
Keywords
Opioid Safety, Operating Theatres, Naloxone, Six Sigma, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical, Pharmacy |
Applicable Specialty or Discipline | Anaesthesiology, Surgery |
Project Lead(s) | Tan Yuen Ming |
Project Member(s) | Yap Sau Hsien |
Connect with this contributor!
Tan Yuen Ming - yuen_ming_tan@nuhs.edu.sg