Dissertation
The effect of a preoperative briefing tool and education on negative operative events
Doctor of Nursing Practice (D.N.P.), Drexel University
2017
DOI:
https://doi.org/10.17918/etd-7502
Abstract
Background: Evidence supports the use of preoperative communication as a strategy to anticipate perioperative needs and mitigate surgical error. The purpose of this QI project was to improve perioperative safety through enhanced interprofessional communication using an educational intervention and to pilot a structured communication tool, the World Health Organization's Surgical Safety Checklist (WHO SSC) to facilitate a preoperative briefing. Methods: The project used a pre-test post-test survey, i.e. the Agency for Healthcare Research and Quality's (AHRQ) Hospital Survey on Patient Safety (HSOPS), to assess the educational intervention with a convenience sample of perioperative team members. The WHO SSC, the Association of Operating Room Nurses (AORN) Practices for Transfer of Care, and the TeamSTEPPS (TM) communication content informed the educational intervention. The Midas Incident Reporting System measured adverse events. The AHRQ - HSOPS measured reported Patient Safety Grade. Evaluation: Fifty-two in-patient employees (63% response rate) completed the AHRQ-HSOPS and 49 completed the post educational survey. There were no significant differences on the AHRQ-HSOPS's four domains of Teamwork, Communication Openness, Overall Perception of Safety, or Handoffs and Transitions. For one of the outcome measures of the AHRQ - HSOPS, Patient Safety Grade, the median ratings by the post education group were significantly higher (p = .001) than the pre-education group. There were no reportable sentinel events. A slight increase in reported near miss events were reported following the educational program. Clinical Implications and Summary: The use of tools such as the WHO SSC could expand the current communication preoperatively among caregivers and reduce surgical error.
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Details
- Title
- The effect of a preoperative briefing tool and education on negative operative events
- Creators
- Dorothy Johnson Jones - DU
- Contributors
- Elizabeth W. Gonzalez (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
- 60 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 7502; 991014632437104721