2.50
Hdl Handle:
http://hdl.handle.net/10755/603434
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Avoiding Delays for Surgery: It is Important
Other Titles:
Bridging the Practice/Research Chasm [Symposium]
Author(s):
Dominguez, Susana; Robles, Arculana; Robles, Arculana
Lead Author STTI Affiliation:
Non-member
Author Details:
Susana Dominguez, RN, Susana.dominguez@midland-memorial.com; Arculana Robles, BSN
Abstract:
Session presented on Sunday, November 8, 2015: Problem: No physician pre-operative orders and day of surgery orders was identified as a critical challenge. Absent physician orders was causing delays in surgical start times due to lack of operative consent and incorrect or missing pre-operative testing needed by the physician. Aim:  The aim for the CIT project was to find a solution to prevent patients from arriving to their pre-operative appointment without any orders. One physician showed interest in participating in the project to prevent delays in his surgery start times. A group of nurses from the pre-operative center and same day surgery met with physician to find a solution to the problem.  During this meeting, the data collected was presented to the doctor. Method: Data was collected to determine how many patients from his office presented to pre-op without orders and still went to surgery. The physician then passed the collection of data back to his staff. The solution was that all patients would have orders inputted in the electronic medical record at the time of their appointment with the physician. It was also decided by the physician that all patients would be seen one day prior to their pre-operative appointment to aid in this process. Results: Data was collected after the implementation of the new guidelines. A dramatic decrease in patients arriving with no orders was noticed. The physician saw a total of 26 patients during the data collection period and 6 patients, or 24%, arrived with no pre-operative orders. After the solution was implemented, only 1 patient out of 18, or 6%, arrived with no per-operative orders resulting in a positive test of change. Conclusion/Recommendation: Since the process worked well with this physician, the process is being implemented with other offices to hopefully yield the same positive results.   Reference Fennel, V. M. (2013, June 6). DNV Issues Top 15 Challenging Standards - Hospital Accreditation & Compliance Journal. Retrieved from http://www.compass-clinical.com/hospital-accreditation/2013/06/19/dnv-issues-top-15-challenging-standards/
Keywords:
Quality Improvement; Surgery; Preventing delays
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15B05
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleAvoiding Delays for Surgery: It is Importanten
dc.title.alternativeBridging the Practice/Research Chasm [Symposium]en
dc.contributor.authorDominguez, Susanaen
dc.contributor.authorRobles, Arculanaen
dc.contributor.authorRobles, Arculanaen
dc.contributor.departmentNon-memberen
dc.author.detailsSusana Dominguez, RN, Susana.dominguez@midland-memorial.com; Arculana Robles, BSNen
dc.identifier.urihttp://hdl.handle.net/10755/603434en
dc.description.abstractSession presented on Sunday, November 8, 2015: Problem: No physician pre-operative orders and day of surgery orders was identified as a critical challenge. Absent physician orders was causing delays in surgical start times due to lack of operative consent and incorrect or missing pre-operative testing needed by the physician. Aim:  The aim for the CIT project was to find a solution to prevent patients from arriving to their pre-operative appointment without any orders. One physician showed interest in participating in the project to prevent delays in his surgery start times. A group of nurses from the pre-operative center and same day surgery met with physician to find a solution to the problem.  During this meeting, the data collected was presented to the doctor. Method: Data was collected to determine how many patients from his office presented to pre-op without orders and still went to surgery. The physician then passed the collection of data back to his staff. The solution was that all patients would have orders inputted in the electronic medical record at the time of their appointment with the physician. It was also decided by the physician that all patients would be seen one day prior to their pre-operative appointment to aid in this process. Results: Data was collected after the implementation of the new guidelines. A dramatic decrease in patients arriving with no orders was noticed. The physician saw a total of 26 patients during the data collection period and 6 patients, or 24%, arrived with no pre-operative orders. After the solution was implemented, only 1 patient out of 18, or 6%, arrived with no per-operative orders resulting in a positive test of change. Conclusion/Recommendation: Since the process worked well with this physician, the process is being implemented with other offices to hopefully yield the same positive results.   Reference Fennel, V. M. (2013, June 6). DNV Issues Top 15 Challenging Standards - Hospital Accreditation & Compliance Journal. Retrieved from http://www.compass-clinical.com/hospital-accreditation/2013/06/19/dnv-issues-top-15-challenging-standards/en
dc.subjectQuality Improvementen
dc.subjectSurgeryen
dc.subjectPreventing delaysen
dc.date.available2016-03-21T16:50:36Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:50:36Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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