The construction of patient quality management model in oral post anesthesia care unit in China: a grounded theory approach

Abstract

Background Nowadays, people have paid more and more attention to the quality of physical and mental health recovery after oral surgery anesthesia. As a remarkable feature of patient quality management, it can effectively reduce the risk of postoperative complications and pain in Post Anesthesia Care Unit (PACU). However, the patient management model in oral PACU remains unknown, especially in China. The purpose of this study is to explore the management elements of patient quality management in the oral PACU and to construct the management model. Methods Strauss and Corbin’s grounded theory method was used to explore the experiences of three anesthesiologists, six anesthesia nurses and three administrators working in oral PACU. Twelve semi-structured interviews were conducted using face-to-face in a tertiary stomatological hospital from March to June, 2022. The interviews were transcribed and thematically analysed according to QSR NVivo 12.0 qualitative analysis tool. Results Three themes and ten subthemes were identified through an active analysis process, including three of the core team members: stomatological anesthesiologists, stomatological anesthesia nurses and administrators, three of the main functions: education and training, patient care and quality control and four of the team operation processes: analysis, plan, do, check. Conclusion The patient quality management model of the oral PACU is helpful for the professional identity and career development of stomatological anesthesia staff in China, which can accelerate the professional development of oral anesthesia nursing quality. According to the model, the patient’s pain and fear will decrease, meanwhile, safety and comfort will increase. It can make contributions to the theoretical research and clinical practice in the future.

Delayed discharge from post-anesthesia care unit: A 20-case retrospective series

“…The post-anesthesia care unit (PACU) is a special area that provides centralized observation and care for postoperative patients with the aim of reducing postoperative morbidity and mortality. [ 1 , 2 ] PACU was an important transition between intraoperative and postoperative monitoring of patients, and an important place to improve work turnover efficiency. [ 3 ] In the PACU, patients are characterized by rapid turnover and changes in their condition.…”