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Drug Healthc Patient Saf. 2021 Jun 01;13:125-131. doi: 10.2147/DHPS.S302303. eCollection 2021.

Assessment of Staffing and Service Provision in the Post-Anesthesia Care Unit of Hospitals Found in Amhara Regional State, 2020.

Drug, healthcare and patient safety

Basazinew Chekol, Denberu Eshetie, Netsanet Temesgen

Affiliations

  1. Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

PMID: 34104000 PMCID: PMC8180306 DOI: 10.2147/DHPS.S302303

Abstract

BACKGROUND: Post-anesthesia recovery is a continuous process which is considered to be complete after the patient returns to their preoperative physiological state. Although all patients who have had an operation under anesthesia are in a potentially unstable physiological state, most patients recover safely without significant problems due to better and immediate post-anesthesia care. Therefore, this study aimed to assess the staffing and service provision in the post-anesthesia care unit.

METHODS: A multicenter, institution-based cross-sectional study was conducted in post-anesthesia care units from November 28 to December 31, 2020. The data were collected using a questionnaire prepared from standards and guidelines of the American Society of Anesthesiologists, the American Association of Nurse Anesthetists, and the Royal College of Anesthetists by direct observation.

RESULTS: Ten hospitals found in Amhara regional state were examined for their staffing of and service provision in their post-anesthesia care units. The total ratio of nurses assigned in post-anesthesia care units to post-anesthesia care unit beds was around 1:3, with a minimum and a maximum ratio of 1:8 and 1:2, respectively. The average number of patients admitted in post-anesthesia care units per week was 98. Eighty percent of the hospitals' post-anesthesia care units had no policy or caregivers for cardiac arrest management.

CONCLUSIONS AND RECOMMENDATIONS: Standards, policies, and guidelines are not well prepared and posted so as to be visible to every caregiver. The majority of the hospitals have staff without special training for the management of possible complications in the post-anesthesia care unit. Generally, hospitals need to ensure standardized patient care in the post-anesthesia care unit for better and safer patient outcomes.

© 2021 Chekol et al.

Keywords: Ethiopia; patient care; post-anesthesia care; recovery

Conflict of interest statement

The authors declare that there is no conflict of interest.

References

  1. J Perianesth Nurs. 2012 Dec;27(6):393-8 - PubMed
  2. J Perianesth Nurs. 1999 Oct;14(5):284-93 - PubMed
  3. Open J Anesthesiol. 2017 Apr;7(4):69-82 - PubMed
  4. Anesth Analg. 1999 Nov;89(5):1241-5 - PubMed
  5. J Perioper Pract. 2010 Mar;20(3):103-7 - PubMed
  6. Anaesthesia. 2013 Mar;68(3):288-97 - PubMed
  7. J Anesth. 2011 Oct;25(5):734-40 - PubMed
  8. Hosp Top. 1968 Oct;46(10):90-5 - PubMed
  9. Anesth Analg. 2014 Dec;119(6):1322-33 - PubMed
  10. Anesth Analg. 2003 May;96(5):1415-23, table of contents - PubMed
  11. Anesthesiology. 1995 Jan;82(1):94-101 - PubMed
  12. J R Soc Med. 1985 Jan;78(1):35-8 - PubMed
  13. Anesthesiology. 1990 Nov;73(5):890-5 - PubMed
  14. Anesth Analg. 2015 Oct;121(4):957-71 - PubMed
  15. Int J Evid Based Healthc. 2013 Dec;11(4):275-84 - PubMed
  16. Health Care Manag Sci. 2006 Feb;9(1):87-98 - PubMed
  17. J Pain Res. 2017 Nov 16;10:2687-2698 - PubMed
  18. BMC Med Res Methodol. 2020 Oct 2;20(1):247 - PubMed
  19. Can J Anaesth. 1995 Nov;42(11):1056-8 - PubMed
  20. Intensive Crit Care Nurs. 2020 Dec;61:102912 - PubMed

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