2.50
Hdl Handle:
http://hdl.handle.net/10755/161973
Category:
Abstract
Type:
Presentation
Title:
Transformation of Surgical Services: Crossing the Quality Chasm
Author(s):
Sellars, Bridgett
Author Details:
Bridgett Sellars, MSN, MA, RN, NE-BC, Faculty, University of San Diego, San Diego, California, USA, email: bridgettsellars@gmail.com
Abstract:
Abstract presented at AORN's 58th Annual Congress: The transformation of the surgical services team in the operating room at Scripps Memorial Hospital La Jolla included development of a matrix to promote cultural change and to decrease adverse events for patients having surgery in the operating room. The matrix included CRM (crew resource management) training, leadership restructure, and departmental realignment with goals of the organization: quality, efficiency, and respect. The implementation of the matrix resulted in a decrease in the severity of adverse events, improved employee satisfaction, and decreased staff turnover. The Great Place to Work scores for the question, "I feel we have improved quality of patient care over the past year, " increased to 88% for 2009 from 82% in 2008. The overall turnover of staff decreased to 2.3% in FY2009 from 14% in FY2008. The severity of adverse events also decreased to those that resulted in no patient injury and required minimal intervention. The leadership structure was changed from one Administrative Director of Surgical Services, one OR Director, one OR Manager, and several service line assistant managers to a flattened structure including only Administrative Director and service line managers. Although this was a challenging structure, the staff received the resources and connection that they needed from senior leadership. The temporary labor was eliminated with this new structure saving the department almost half of $1 million. The journey to excellence first has to start with a leadership structure that promotes a culture of safety for patients and staff in the OR. The culture of safety was reinforced through CRM training. The transformation that occurred in the OR involved senior leadership, managers, physicians, and staff to improve the overall quality of the surgical patients at Scripps Memorial Hospital La Jolla. Corporate support for this session generously provided by Ethicon-Endo Surgery.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTransformation of Surgical Services: Crossing the Quality Chasmen_GB
dc.contributor.authorSellars, Bridgetten_US
dc.author.detailsBridgett Sellars, MSN, MA, RN, NE-BC, Faculty, University of San Diego, San Diego, California, USA, email: bridgettsellars@gmail.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/161973-
dc.description.abstractAbstract presented at AORN's 58th Annual Congress: The transformation of the surgical services team in the operating room at Scripps Memorial Hospital La Jolla included development of a matrix to promote cultural change and to decrease adverse events for patients having surgery in the operating room. The matrix included CRM (crew resource management) training, leadership restructure, and departmental realignment with goals of the organization: quality, efficiency, and respect. The implementation of the matrix resulted in a decrease in the severity of adverse events, improved employee satisfaction, and decreased staff turnover. The Great Place to Work scores for the question, "I feel we have improved quality of patient care over the past year, " increased to 88% for 2009 from 82% in 2008. The overall turnover of staff decreased to 2.3% in FY2009 from 14% in FY2008. The severity of adverse events also decreased to those that resulted in no patient injury and required minimal intervention. The leadership structure was changed from one Administrative Director of Surgical Services, one OR Director, one OR Manager, and several service line assistant managers to a flattened structure including only Administrative Director and service line managers. Although this was a challenging structure, the staff received the resources and connection that they needed from senior leadership. The temporary labor was eliminated with this new structure saving the department almost half of $1 million. The journey to excellence first has to start with a leadership structure that promotes a culture of safety for patients and staff in the OR. The culture of safety was reinforced through CRM training. The transformation that occurred in the OR involved senior leadership, managers, physicians, and staff to improve the overall quality of the surgical patients at Scripps Memorial Hospital La Jolla. Corporate support for this session generously provided by Ethicon-Endo Surgery.en_GB
dc.date.available2011-10-27T08:43:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:43:40Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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