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Dissertation
Effects of Production Pressure on CRNA Practice and Patient Safety
Doctor of Nursing Practice (D.N.P.), Drexel University
Sep 2018
DOI:
https://doi.org/10.17918/enbh-yx12
Abstract
Production pressure is often discussed in the anesthetic community with regards to its effects on patient safety, but has been rarely scrutinized. The purpose of this project was to examine the primary sources of production pressure and how they relate to patient safety in the practice of the Certified Registered Nurse Anesthetist (CRNA). This quality improvement project surveyed 2000 CRNA's via email to assess the phenomenon and its impact on safety. There were 239 total responses with 17 incomplete surveys that were not used in the statistical analysis. Questions asked related to the sources of production pressure, communication, and errors caused by production pressures as well as basic demographic information. In this survey, it was determined that the phenomenon of production pressure has a significant impact on CRNA practice and safety. The production pressures relating to on time starts, turnover time, working hours and staffing levels were perceived by CRNAs to have the most significant effects on their practice. It is apparent that a culture of deviance continues to overshadow the culture of safety given the fact that greater than 55% of CRNAs witnessed errors due to production pressures with the potential to harm patients and 27% self-reported making those errors. The effects of production pressure on CRNA practice and safety are of significant concern and need to be reduced. The balance between safe, patient centered care and cost effectiveness needs to be constantly reevaluated.
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Details
- Title
- Effects of Production Pressure on CRNA Practice and Patient Safety
- Creators
- Michael L. McMillen - DU
- Contributors
- Linda Wilson (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 68 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 8206; 991014632084004721