Roberson_Approved_FinalDNPProject
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Roberson_Approved_FinalDNPProject
Southern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. Los Roberson_Approved_FinalDNPProject AngelesPERIOPERATIVE HAND OFF: A QUALITY IMPROVEMENT PROJECTA DOCTORAL PROJECTSubmitted in Partial Fulfillment of the RequirementsFor the Degree ofDOCTOR OF NURSING PRACTICEByBernadette Brawner RobersonDoctoral Project Committee ApprovalMargaret Brady, PhD. RN. CPNP-PC, Committee Chair Melissa Dyo. Roberson_Approved_FinalDNPProject PhD. RN. Committee Member43221ABSTRACTThe peri-operative arena is a complex environment where multiple tasks occur such as preparing patients lor surRoberson_Approved_FinalDNPProject
gery, monitoring patients lor complications, and ensuring patient safety during transition of care. This management process requires continuous conunuSouthern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. Los Roberson_Approved_FinalDNPProjectata may optimize patient care during transition (De Vries et al.. 2010).A quality improvement (QI) project was conducted in an outpatient surgery setting. Its focus was to develop, implement, and evaluate a handoff tool that would serve as a checklist for the pre-operative and intra-operative nurses Roberson_Approved_FinalDNPProject during transition of care. A 3-phase design was used. First, pre-data collection of errors was identified from occurrence reports. Second, a Pre-operRoberson_Approved_FinalDNPProject
ative Checklist Tool (POCT) was developed and its content validity established. Third, the POCT was evaluated for reliability, effectiveness, complianSouthern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. Los Roberson_Approved_FinalDNPProject8%) believed that the POCT would improve communication. Prior to FOCI use. 14 monthly occurrence reports revealed that 1 to 3 negative clinical events occurred monthly. During the I-month pilot and four months afterwards, there were no reported negative clinical events. I llis QI project supported t Roberson_Approved_FinalDNPProjecthe benefits of using a standardized communication process during care perioperative transitions.iiiTABLE OF CONTENTSABSTRACT..........................Roberson_Approved_FinalDNPProject
.................................... iiiLIST OF FIGURES........................................................ viACKOWLEDGEMENTS.....................Southern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. Los Roberson_Approved_FinalDNPProject............................. 2Purpose Statement.................................................. 3Theoretical Framework.............................................. 3Integration of Theoretical Framework into the Project.............. 4REVIEW OF LITERATURE.......................................... Roberson_Approved_FinalDNPProject.......... 8Overview of Communication Breakdown................................ 8Clinicians’ Perceptions of Checklists............................. 10Roberson_Approved_FinalDNPProject
Effects of Checklists in Transition of Care...................... 11Design and Implementation of Checklists.......................... 13Conclusions...Southern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. Los Roberson_Approved_FinalDNPProject............................................. 16Setting........................................................... 19Sample............................................................ 19 Roberson_Approved_FinalDNPProjectSouthern California CSV DNP ConsortiumCalifornia State University. Fullerton California State University. Long Beach California State University. LosGọi ngay
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