A Correlation Between Pre-Admission Preparation and Same-Day Surgery Cancellations
Review TypeNone: Degree-based Submission
Review StatusNot Applicable (See Review Type)
Repository Posting Date2017-09-22T16:03:48Z
Author(s)Shidner, Kimberly A.
TypeDNP Capstone Project
Level of EvidenceOther
Research ApproachTranslational Research/Evidence-based Practice
CINAHL HeadingsSurgery Cancellations; Surgery, Elective; Surgical Patients; Patient Admission; Preoperative Care
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.
Degree GrantorCapella University
Date of Publication2017-09-22
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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