scholarly journals Quality Initiative Using Theory of Change and Visual Analytics to Improve Controlled Substance Documentation Discrepancies in the Operating Room

2019 ◽  
Vol 10 (03) ◽  
pp. 543-551
Author(s):  
Jenny E. Dolan ◽  
Hannah Lonsdale ◽  
Luis M. Ahumada ◽  
Amish Patel ◽  
Jibin Samuel ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Operating Room ◽  
Visual Analytics ◽  
Theory Of Change ◽  
Free Standing ◽  
Model Framework ◽  
Improvement Project ◽  
Audit Data ◽  
Framework Approach ◽  
Controlled Substance

Background Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-standing pediatric hospital. Methods Visual analytics were applied to collected documentation discrepancy audit data and were used to track progress of the project, to motivate the OR team, and in analyzing where further improvements could be made. This was part of a seven-step improvement plan based on the Theory of Change with a logic model framework approach. Results The introduction of the visual analytics dashboard contributed a 24% improvement in controlled substance documentation discrepancy. The project overall reduced documentation errors by 71% over the studied period. Conclusion We used visual analytics to simultaneously analyze, monitor, and interpret vast amounts of data and present them in an appealing format. In conjunction with quality-improvement principles, this led to a significant improvement in controlled substance documentation discrepancies.

Auditing of operating room times: A quality improvement project

2014 ◽  
Vol 78 (5) ◽  
pp. 782-786 ◽  
Author(s):  
Jonathan N. Perkins ◽  
Tendy Chiang ◽  
Amanda G. Ruiz ◽  
Jeremy D. Prager
Keyword(s):  
Quality Improvement ◽  
Operating Room ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals Assessment of intraoperative temperature management at the University Teaching Hospital of Kigali: A quality improvement project

2021 ◽  
Vol 9 (1) ◽  
pp. 097-103
Author(s):  
Kaitlin M. Flannery ◽  
Jean C. Uwimana ◽  
Cesarie Nikuze ◽  
Jean B. Uwineza ◽  
Ana M. Crawford
Keyword(s):  
Quality Improvement ◽  
Operating Room ◽  
Teaching Hospital ◽  
Neuraxial Anesthesia ◽  
Quality Improvement Project ◽  
University Teaching ◽  
Limited Resources ◽  
Temperature Management ◽  
Improvement Project ◽  
The University

Background: Due to the inhibition of thermoregulation by anesthetics, hypothermia occurs in 50% of patients undergoing general and neuraxial anesthesia without active warming. High-quality research has shown the negative effects of intraoperative hypothermia including increased rates of surgical site infections, increased hospital length of stay, increased cardiac morbidity and increased rate of transfusion. The University Teaching Hospital of Kigali commonly known as CHUK is the largest public referral hospital in Rwanda. The International Standards for Safe Anesthesia were not being met regarding intraoperative temperature management at CHUK. However, due to high ambient temperature in the operating room, it was unknown if this was a significant problem and worth investment, in a health system, with limited resources. Methods: After institutional review board approval, a two-stage descriptive cross-sectional quality improvement project was performed. The first stage was to assess current management of intra-operative temperature, determine if there was a significant rate of hypothermia and establish risk factors for developing intra-operative hypothermia in this clinical setting. The second stage was to determine if locally available warming techniques, an underbody warming blanket, significantly reduced the incidence of intra-operative hypothermia. Results: The primary result of the study was a 58% incidence of hypothermia with current standard practice. This was reduced to 6% with the use of an underbody water blanket. Temperature was measure intraoperatively in only 6% of cases and never documented. Adult patients and patients undergoing neuraxial anesthesia were more likely to experience hypothermia. Conclusions: Intraoperative hypothermia is common at CHUK despite high ambient operating room temperature. Monitoring and documentation of temperature is not occurring on a regular basis. The use of underbody water body, though not the gold standard for intraoperative warming, was effective in this study and a realistic solution in an environment with limited resources.

Improvement in Patient Transfer Process From the Operating Room to the PICU Using a Lean and Six Sigma-Based Quality Improvement Project

2016 ◽  
Vol 6 (8) ◽  
pp. 483-489 ◽  
Author(s):  
S. J. Gleich ◽  
M. E. Nemergut ◽  
A. A. Stans ◽  
D. T. Haile ◽  
S. A. Feigal ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Operating Room ◽  
Transfer Process ◽  
Six Sigma ◽  
Patient Transfer ◽  
Quality Improvement Project ◽  
Improvement Project

scholarly journals A Quality Improvement Project to Improve First Case On-time Starts in the Pediatric Operating Room

2020 ◽  
Vol 5 (4) ◽  
pp. e305
Author(s):  
Dinesh S. Pashankar ◽  
Anna M. Zhao ◽  
Rebecca Bathrick ◽  
Cindy Taylor ◽  
Heidi Boules ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Operating Room ◽  
Quality Improvement Project ◽  
Improvement Project ◽  
First Case

scholarly journals 379 Improving Flow: A Quality Improvement Project on The Processing of Vascular Surgical Microbiology Samples

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
L Wang ◽  
J Gilbert ◽  
D Ireland ◽  
D Samarasinghe ◽  
G Sritharan
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Project ◽  
Microbiological Analysis ◽  
Tissue Samples ◽  
Improvement Project ◽  
Sustained Improvement ◽  
Raising Awareness ◽  
Audit Data ◽  
High Incidence ◽  
Surgical Operations

Abstract Aim Tissue samples taken during vascular surgical operations are commonly sent for microbiological analysis, owing to the relatively high incidence and serious consequences of infection in these cases. Delays in obtaining results from these samples can hinder clinical management, leading to prolonged inpatient stay and adverse clinical outcomes. The aim of this audit was to identify causes for delay in obtaining microbiology results and to improve the service. Method A closed loop quality improvement project performed at a tertiary vascular centre in London. We initially identified all tissue microbiology samples sent from vascular surgical operations performed during April 2019 and record the time when samples reach microbiology laboratory and the time when results were made available. Re-audit data was collected in November 2019. Results Initial audit showed that on average, results were available for clinicians 9.1 days after the sample was taken and 7.3 days after the sample had reached the laboratory. Samples required an average of 44 hours to transit to the laboratory and notably there is delay if surgery is performed on Friday (71 hours). Additionally, one sample was missing. Following utilization of the urgent sample pathway and raising awareness amongst staff, re-audit data showed significant reduction in average time of transit (33 hours) with much reduced transit time on Friday (36 hours). Results were available 7.7 days following sample date, compared to 9.1 days before. Conclusions Utilization of existing pathway and staff training can reduce delays in microbiology sample processing. However, further analysis is necessary to ensure sustained improvement.

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