14.00
Hdl Handle:
http://hdl.handle.net/10755/622731
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
A Correlation Between Pre-Admission Preparation and Same-Day Surgery Cancellations
Author(s):
Shidner, Kimberly A.
Additional Author Information:
Kimberly Shidner, DNP, BSN, RN
Advisors:
Jones, Terri S.; Sheppard, Kathryn; Condron, Mary
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

Patients undergoing surgical procedures must have adequate surgical preparation for anesthesia, procedures, and post-operative care to avoid cancellation. The primary focus of this quality improvement project was to determine if a correlation between pre-admission assessment preparedness and same-day surgery cancellation rates existed. The Ottawa Model of Research was used as a reference to help guide the project. The two-month internal audit provided documentation of incomplete pre-admission preparations, which placed a potential risk of surgical cancellations. A pre-admission policy was revised to enforce the pre-admission regulation. The change required the submission of patient documentation forty-eight hours prior to admission. This allowed ample time to adequately assess a patients’ readiness for surgery. The department experienced a 58% reduction in documentation retrieval attempts. The revised policy was implemented to decrease the reports of preventable cancellations. Post policy enforcement, the pre-admission testing unit experienced an 18% decrease in documentation retrieval attempts. Swiss International Systems (SISCom) reported a 2% decrease in same-day surgery cancellations rate. A breakdown analysis determined the cancellation causes.

Keywords:
pre-admission testing; same-day surgery cancellations; elective surgery cancellation
CINAHL Headings:
Surgery Cancellations; Surgery, Elective; Surgical Patients; Patient Admission; Preoperative Care
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-09-22T16:03:48Z
Date of Publication:
2017-09-22

Full metadata record

DC FieldValue Language
dc.contributor.advisorJones, Terri S.en
dc.contributor.advisorSheppard, Kathrynen
dc.contributor.advisorCondron, Maryen
dc.contributor.authorShidner, Kimberly A.en
dc.date.accessioned2017-09-22T16:03:48Z-
dc.date.available2017-09-22T16:03:48Z-
dc.date.issued2017-09-22-
dc.identifier.urihttp://hdl.handle.net/10755/622731-
dc.description.abstract<p>Patients undergoing surgical procedures must have adequate surgical preparation for anesthesia, procedures, and post-operative care to avoid cancellation. The primary focus of this quality improvement project was to determine if a correlation between pre-admission assessment preparedness and same-day surgery cancellation rates existed. The Ottawa Model of Research was used as a reference to help guide the project. The two-month internal audit provided documentation of incomplete pre-admission preparations, which placed a potential risk of surgical cancellations. A pre-admission policy was revised to enforce the pre-admission regulation. The change required the submission of patient documentation forty-eight hours prior to admission. This allowed ample time to adequately assess a patients’ readiness for surgery. The department experienced a 58% reduction in documentation retrieval attempts. The revised policy was implemented to decrease the reports of preventable cancellations. Post policy enforcement, the pre-admission testing unit experienced an 18% decrease in documentation retrieval attempts. Swiss International Systems (SISCom) reported a 2% decrease in same-day surgery cancellations rate. A breakdown analysis determined the cancellation causes.</p>en
dc.formatText-based Documenten
dc.subjectpre-admission testingen
dc.subjectsame-day surgery cancellationsen
dc.subjectelective surgery cancellationen
dc.titleA Correlation Between Pre-Admission Preparation and Same-Day Surgery Cancellations-
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsKimberly Shidner, DNP, BSN, RNen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlSurgery Cancellationsen
dc.subject.cinahlSurgery, Electiveen
dc.subject.cinahlSurgical Patientsen
dc.subject.cinahlPatient Admissionen
dc.subject.cinahlPreoperative Careen
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