Enhancing the recognition and management of neck haematoma following thyroid surgery among healthcare professionals: a quality improvement project
Akhavan-Mofrad, Arshia Raveendran, Sinthuri Gupta, Keshav Kumar Thomas, Esther Wong, Hoi Yan De, Mriganka
Akhavan-Mofrad, Arshia
Raveendran, Sinthuri
Gupta, Keshav Kumar
Thomas, Esther
Wong, Hoi Yan
De, Mriganka
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Publication date
2025-09-22
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Abstract
Post-thyroidectomy haematoma is a life-threatening emergency. As first-responders, it is crucial for nurses to possess training in prompt recognition and escalation.
Evaluate and enhance the preparedness of first-responders in recognising and managing post-thyroidectomy haematoma.
Closed-loop quality improvement project.
Knowledge and confidence in managing post-thyroidectomy haematoma was audited over a 2-week period. Data was collected at a primary elective surgical site. Interventions focusing on clinical education were implemented and the results re-audited.
Mean confidence scores in recognising and managing post-thyroidectomy haematoma increased on re-audit (2.94-3.22; 2.62-2.83, respectively). Following the intervention, the number of participants who had received prior training rose from 49.1% to 66%. Awareness of the SCOOP protocol increased from 13.2% to 66.7% (p < 0.001).
This quality improvement project highlighted a key knowledge gap, improved confidence in management of post-thyroidectomy haematoma, and emphasised a requirement and desire for further teaching.
Citation
Akhavan-Mofrad A, Raveendran S, Gupta KK, Thomas E, Wong HY, De M. Enhancing the recognition and management of neck haematoma following thyroid surgery among healthcare professionals: a quality improvement project. Contemp Nurse. 2025 Sep 22:1-13. doi: 10.1080/10376178.2025.2556769. Epub ahead of print.
Type
Journal Article