Date on Paper
8-2024
Document Type
Doctoral Paper
Degree Name
D.N.P.
Department
Nursing
Committee Chair
Roser, Lynn
Committee Member
Kern, Nancy
Author's Keywords
Dermal Filler; Vascular Occlusion; Bundle of Care
Abstract
Background: Hyaluronic acid (HA) dermal fillers, an injectable used for cosmetic use, are gaining popularity, and are expected to continue to do so in the projected future. With the rise in the number of patients seeking these procedures there is a correlated rise is adverse events, including the complication of vascular occlusion. Vascular occlusion has the potential for detrimental outcomes, and clinicians performing these procedures are responsible for educating patients about these risks. As whole, the healthcare community must be prepared.
Purpose: A quality improvement (QI) project was created to help clinicians prepare, prevent, recognize, and treat hyaluronic acid dermal filler induced vascular occlusion by improving clinician knowledge and confidence on this topic.
Methodology: The QI project was created with the foundation of a review of literature focused on dermal filler associated vascular occlusion and related topics. The Institute for Healthcare Improvement (IHI)’s Plan-Do-Study-Act (PDSA) model was used as the structure for the project. Being the first cycle of the PDSA, the QI project data results give insight for future cycles to improve processes and identify further needs.
Intervention: The intervention included a pre-recorded educational video, 45-minutes in length, discussing the five elements of a bundle of care for vascular occlusion events. There was a pre- and post-test (immediate and 1-month) on knowledge and confidence surrounding the video
Results: Improvement in participant knowledge and confidence was seen. Knowledge improved from a mean of 69% to 92% immediate post-test and 95% one-month post-test, and this was a 33% and 37% percentage of change, respectively. Confidence also improved at both post-test intervals, and none of the questions had a decline in confidence. For nine out of the ten pre-test questions on confidence, the highest percentage of responses were “agree.” In the two post-test intervals this improved with the highest percentage of responses being “strongly agree” for nine out of the ten questions.
Recommended Citation
Sanders, Genny, "A bundle of care for prevention, early recognition, and treatment of hyaluronic acid dermal filler associated vascular occlusion" (2024). Doctor of Nursing Practice Papers. Paper 168.
Retrieved from https://ir.library.louisville.edu/dnp/168
