Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea.

Journal Article (Journal Article)

PURPOSE: Obstructive sleep apnea (OSA) is a breathing disorder found in surgical patients and associated with complications in the postoperative period. The implementation of a preoperative universal screening process using the STOP-BANG questionnaire to identify patients at high risk for OSA provides opportunities for improved management. DESIGN: A pre-post design was used to evaluate screening compliance rates. METHODS: This initiative included staff education, which included the process for evaluating and documenting STOP-BANG scores. The data were collected via a chart review of the electronic medical record (EMR). FINDINGS: The rate of screening for OSA doubled after implementation of this initiative, and compliance with STOP-BANG questionnaire screening was 66.1%. High-risk designation in the EMR was 73.0%. Nearly half of the patients screened were found to be at high risk for OSA. CONCLUSIONS: Implementation of a universal screening initiative for patients and design for the EMR improves compliance with screening and identification of patients at high risk for OSA.

Full Text

Duke Authors

Cited Authors

  • Stubberud, AB; Moon, RE; Morgan, BT; Goode, VM

Published Date

  • February 2019

Published In

Volume / Issue

  • 34 / 1

Start / End Page

  • 51 - 59

PubMed ID

  • 30025663

Electronic International Standard Serial Number (EISSN)

  • 1532-8473

Digital Object Identifier (DOI)

  • 10.1016/j.jopan.2018.04.002


  • eng

Conference Location

  • United States