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.

Author Details

Kimberly A. Shidner, DNP, BSN, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

pre-admission testing, same-day surgery cancellations, elective surgery cancellation

Advisor

Jones, Terri S.

Second Advisor

Sheppard, Kathryn

Third Advisor

Condron, Mary

Degree

DNP

Degree Grantor

Capella University

Degree Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2017-09-22

Full Text of Presentation

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