Other Titles
Bridging the practice/research chasm [Symposium]
Abstract
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/
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Quality Improvement, Surgery, Preventing Delays
Recommended Citation
Dominguez, Susana and Robles, Arculana, "Avoiding delays for surgery: It is important" (2016). Convention. 426.
https://www.sigmarepository.org/convention/2015/presentations_2015/426
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Avoiding delays for surgery: It is important
Las Vegas, Nevada, USA
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/
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.