Research Recipients

Research Award Details

2019 - POSNA QSVI Grant

Improving GI Bundle Compliance for Pediatric Surgical Spine Patients

Grant Recipient: Julie Samora, MD, PhD

Institution:: Nationwide Children's Hospital

Presentations & Publications:

Presentations: Seilhamer C, Di Lorenzo C, Holstine J, Samora JB. Improving GI bundle compliance for spine surgery patients. 12^th Annual Ohio Hospital Association Quality Summit. Columbus, OH. 2019.

Publications: Submitted to Spine Deformity. Awaiting feedback after 2^nd submission.

Further Funding:: Further grant obtained as result of POSNA funding: None

Additional Information:: Project Aim: Increase compliance with the Orthopaedic GI Bundle, in patients undergoing orthopaedic surgery in the Main OR being discharged with opioids from 0% to 75%.

Secondary Aim: Decrease unplanned returns to the ED and decrease Nurse Triage Line Calls due to GI side effects.

Research Findings: Overall compliance with the GI Bundle increased to a mean of 92%. Compliance with inpatient medication prescribing on POD #1 and POD #2 until discharge showed a centerline near 96% for both components. Compliance with the post-discharge (at-home) instructions achieved a centerline shift to 100%.

The secondary outcome measure was a reduction in ED visits or readmissions for constipation. Occurrence for ED visits or re-admissions for constipation were reduced from a baseline mean from 1 in every 11 cases to 1 in every 184 cases. Our institution sustained more than 2 years without an ED visit or readmission related to constipation in this patient population after the Bowel Management Plan was in place.

Spine-Bowel-Management-Plan