Hamad Medical Corporation, Doha, Qatar
Title: Improve screening and baseline assessment of patients for obstructive sleep apnea (osa) seen in bariatric clinic at hamad medical corporation
Biography: Aisha Hussain
Obstructive Sleep Apnea is a syndrome characterized by periodic, partial, or complete obstruction of the upper airway during sleep.”
A cessation of breathing for greater than or equal to 10 seconds.
Why it does it matter?
Prevalence of OSA is estimated to be 25% among candidates for elective surgery and as high as 80% for patients undergoing bariatric surgery.
80% OSA patients are undiagnosed at time of surgery.
Increased perioperative risk due to failure to recognize (or diagnose) OSA preoperatively.
There are evidence-based opportunities to improve outcomes:
Consider pre-op initiation of CPAP/NIPPV (Non-invasive positive pressure ventilation).
The aim of the project
Improve appropriate screening and treatment of patients for (OSA) seen in bariatric outpatient clinic from 0.38 % to 60% by end of January 2017 at Hamad Medical Corporation.
So multiple improvement cycles done:
1: A survey for understanding the importance of OSA on patient health.
2: Tested the process of ordering a sleep questionnaire in the clinic.
3: Determine how much time needed for application of sleep questionnaire.
4: Weekly meeting to review established best care done for all patients.
Decrease average waiting time for screening.
Take home message
Identifying OSA in the bariatric surgery patient is important to improving outcomes.
Preoperative screening can be improved and subsequent treatment can be initiated.
This study demonstrates that improvement science can help increase the rate of screening for OSA.