Problem and Purpose: Postoperative complications, including reintubations and rapid responses (RR) after discharge from the Post-Anesthesia Care Unit (PACU), remain a challenge at an urban hospital. Obstructive sleep apnea (OSA) is a factor, with literature indicating that patients with a STOP-Bang score ≥3 are at increased risk. An audit from February to May 2024 identified a 4% PACU reintubation rate and a 2.35% RR rate within 24 hours post PACU discharge. Analysis revealed inconsistent management of patients with OSA as a contributing factor. The purpose of this quality improvement initiative was to reduce postoperative reintubations and RRs within 24 hours of PACU discharge in adult surgical patients with diagnosed OSA or a STOP-Bang score ≥3, through STOP-Bang questionnaire implementation. Methods: The 15-week project implemented in the Fall of 2024, engaged over 50 nurses, two Assistant Nursing Directors, one Nursing Director, and one Assistant Vice President of Perioperative Services. Nurses were trained on STOP-Bang use. Patients with a STOP-Bang score ≥3 or diagnosed OSA were identified and received enhanced monitoring per an order set including continuous telemetry and pulse oximetry. Results: Screening remained high, with a median completion rate of 96.67%, supported by electronic health record (EHR) integration. Order set initiation was low, with a median rate of 20.84%. Barriers included unclear ownership of the order set and limited visibility of STOP-Bang scores. There were two isolated PACU reintubations in week 7 and 9. RR rates varied, with a median of 13.89%. Conclusion: Implementation highlighted the gap between screening and interventions. Findings emphasize the need for enhanced protocols, surgical team ownership of the order set, and improved visibility of STOP-Bang scores.