Implementing Daily Management Systems to Support Sustained Quality Improvement in Ambulatory Surgery Centers.

Abstract:

:Quality improvement processes and management approaches that provide a foundation for continuous quality improvement can lead to improved patient care. The Institute for Healthcare Improvement developed a high-performance management system (HPMS) for health care leaders and staff members to effect continuous quality control, and then conducted a pilot of the system in several ambulatory surgery centers (ASCs). The primary focus of the pilot program in the ASC setting was to understand the applicability of the theory of quality control using related practices (eg, standardized daily huddles, visual management boards) included in the modified HPMS. After implementing the new program, pilot site leaders observed an improvement of approximately 10 percentage points in their Agency for Healthcare Research and Quality patient safety culture survey scores. At the end of the pilot, the researchers concluded that ASC leaders can improve patient care and sustain improvement in their organizations using the HPMS practices.

journal_name

AORN J

journal_title

AORN journal

authors

Rakover J,Little K,Scoville R,Holder B

doi

10.1002/aorn.12988

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

415-422

issue

4

eissn

0001-2092

issn

1878-0369

journal_volume

111

pub_type

杂志文章
  • Personal finance: there are no shortcuts to financial security.

    abstract::Perioperative nurses have skills that lend themselves to sound financial decision-making, and during these difficult economic times, it is important to know how to secure earnings for the future. Key strategies include saving for retirement, consulting a financial advisor, investing in reliable vehicles, holding inves...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2009.07.024

    authors: Yarkony K

    更新日期:2009-12-01 00:00:00

  • Surgical Smoke: Putting the Pieces Together to Become Smoke-Free: 1.6 www.aornjournal.org/content/cme.

    abstract::Surgical smoke is generated when tissue vaporizes from the use of various energy-generating devices (eg, electrosurgery units, lasers). Surgical smoke contains toxic gases and vapors that can be hazardous to patients and perioperative staff members. In addition to ocular and upper respiratory tract irritation, surgica...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1002/aorn.12149

    authors: York K,Autry M

    更新日期:2018-06-01 00:00:00

  • Effect of music on ambulatory surgery patients' preoperative anxiety.

    abstract::The authors investigated music as a method to reduce ambulatory surgery patients' preoperative anxiety. They assigned 42 patients to either an experimental or a control group and compared the patients' vital signs and self-reports of anxiety, which were measured using the state portion of the State-Trait Anxiety Inven...

    journal_title:AORN journal

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0001-2092(06)63126-8

    authors: Augustin P,Hains AA

    更新日期:1996-04-01 00:00:00

  • Damage control surgery for the patient who has experienced multiple traumatic injuries.

    abstract::PATIENTS WHO HAVE EXPERIENCED multiple traumatic injuries present one of the greatest challenges for perioperative teams. IN A TRAUMA PATIENT who is hemorrhaging, increased risk of death arises from a vicious cycle of hypothermia, coagulopathy, and metabolic acidosis known as the triad of death. A STAGED SURGICAL APPR...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)63996-3

    authors: McArthur BJ

    更新日期:2006-12-01 00:00:00

  • Feasibility of family member presence in the OR during breast biopsy procedures.

    abstract::Family-centered care is an accepted and promoted philosophy within the health care community. Perioperative nurses are empowered to support change in the health care arena and to examine and institute policies that affect patient care. This study examined the feasibility of family presence in the OR during breast biop...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2008.01.001

    authors: Evans LA

    更新日期:2008-10-01 00:00:00

  • Management of alcoholic cirrhosis of the liver.

    abstract::Patients with liver disease require skilled, complex management of the inevitable complications associated with hepatic dysfunction. Portal hypertension, a major consequence of cirrhosis of the liver, causes ascites and esophageal variceal hemorrhages. Many clinical and surgical treatment options are available to mana...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)63150-5

    authors: McEwen DR

    更新日期:1996-08-01 00:00:00

  • Standardization of a surgical site precleansing technique for vascular patients.

    abstract::Surgical site infection (SSI) is a serious complication that can increase hospital costs and length of stay and may be life threatening. The preoperative chlorhexidine shower is widely recommended to decrease SSI risk, although standardized guidelines for this practice and supporting clinical evidence are lacking. Bec...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2008.03.006

    authors: Grelle K,Linker L,Maninang J,Bruce S,Vish N,Sample S

    更新日期:2008-08-01 00:00:00

  • Reducing the frequency of immediate-use sterilization: a systematic multidisciplinary approach.

    abstract::Efforts to comply with AORN's recommended practices for sterilization led a multidisciplinary team at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, to undertake a quality improvement project to reduce the frequency of immediate-use (previously called flash) sterilization. Team members determined t...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2011.06.014

    authors: Shelby D,Kras B,Bryant S,Myers K,Bolyard N

    更新日期:2012-11-01 00:00:00

  • Pain management--continuum of care for surgical patients.

    abstract::A pain management process improvement team was created to develop a unified and consistent way to address pain management for surgical patients. Team members evaluated patient satisfaction ratings, patient and family member education, use of specific pain scales, patient comfort function goals, staff member education,...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)60750-3

    authors: Chavis SW,Duncan LH

    更新日期:2003-09-01 00:00:00

  • Implementation of a couplet care program for families after a cesarean birth.

    abstract::This article describes the implementation of a couplet care program for patients who have undergone a cesarean delivery. The goals of couplet care (ie, keeping a mother and infant together after the birth) are to facilitate family bonding, support successful breastfeeding, and increase patient satisfaction. Staff memb...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2008.07.019

    authors: Spradlin LR

    更新日期:2009-03-01 00:00:00

  • Shared governance for nursing. Part I: Creating the new organization.

    abstract::In Part I, the concept of shared governance is presented. I have discussed what it means to move toward a shared governance model and the way of thinking and reorganizing that supports it. Basic principles that drive the concept are discussed, and the underpinnings necessary to make it work are identified. Clearly, th...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69934-7

    authors: Porter-O'Grady T

    更新日期:1991-02-01 00:00:00

  • A nurse's right to refuse a patient care assignment.

    abstract::Ethics is a set of moral principles or values--a guiding philosophy for behavior. Ethical dilemmas in the health care setting occur daily. Perioperative nurse managers need to consider basic ethical principles when resolving these dilemmas, and they must keep in mind that solutions need to serve the best interests of ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)63582-5

    authors: Kuhn JE

    更新日期:1995-09-01 00:00:00

  • Implementation of a Wisconsin Division of Public Health Surgical Site Infection Prevention Champion Initiative.

    abstract::Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in Ma...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1002/aorn.12123

    authors: Borlaug G,Edmiston CE Jr

    更新日期:2018-05-01 00:00:00

  • Medialization thyroplasty for unilateral vocal cord paralysis.

    abstract::Unilateral vocal cord paralysis causes disturbances with vocal function and swallowing, to include aspiration. Thyroplasty type I has become one of the preferred surgical treatments for unilateral vocal cord paralysis. It is tolerated better by the patient, improves predictability of surgical results, and provides goo...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)61173-3

    authors: Herman C

    更新日期:2002-03-01 00:00:00

  • Surgical vacuum drains: types, uses, and complications.

    abstract::High- and low-pressure vacuum drains are commonly used after surgical procedures. High-pressure vacuum drains (ie, sealed, closed-circuit systems) are efficient and allow for easy monitoring and safe disposal of the drainage. Low-pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2009.09.024

    authors: Durai R,Ng PC

    更新日期:2010-02-01 00:00:00

  • An integrative review of pressure relief in surgical patients.

    abstract::Effective patient positioning has been an important issue throughout the history of the nursing profession. Pressure ulcers result from prolonged pressure, which causes skin, tissue, or muscle damage. Surgical patients present a unique challenge in preventing pressure ulcers because they are immobile and unable to per...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)61960-1

    authors: Armstrong D,Bortz P

    更新日期:2001-03-01 00:00:00

  • Cleft palate repair. Surgical procedure and nursing care.

    abstract::The effects of the disability have decreased over the years as methods of habilitation have improved--the now successful surgical techniques followed by more normal development. The battle is not over, though, because society still attaches a stigma to this anomaly and the speech and hearing handicaps that can result....

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:

    authors: McInerney TG

    更新日期:1985-10-01 00:00:00

  • Multimodal Pain Management for Enhanced Recovery: Reinforcing the Shift From Traditional Pathways Through Nurse-Led Interventions.

    abstract::Despite recent advances in perioperative patient care, postsurgical pain continues to be undermanaged. There is increasing acceptance of the concept that effective postsurgical pain management is best achieved through combined use of more than one analgesic agent or technique, and overreliance on opioids produces unwa...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2016.10.012

    authors: Montgomery R,McNamara SA

    更新日期:2016-12-01 00:00:00

  • Surgical implants. Physiological response.

    abstract::Following the surgical insertion of all prosthetic implants, an identical sequence of events occurs, although the magnitude of each response is variable. Initially, to maintain hemostasis, the coagulation system is stimulated and platelet activation occurs. Within minutes, leukocytes accumulate in an attempt to neutra...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)64976-x

    authors: Zeller JM

    更新日期:1983-06-01 00:00:00

  • Kyphoplasty--minimally invasive vertebral compression fracture repair.

    abstract::OSTEOPOROSIS is a skeletal disorder that compromises bone strength, predisposing a person to an increased risk of fracture. An estimated 700,000 spinal fragility fractures, such as vertebral compression fractures, directly related to osteoporosis occur annually. KYPHOPLASTY, a minimally invasive fracture reduction pro...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)60636-4

    authors: Erickson K,Baker S,Smith J

    更新日期:2003-11-01 00:00:00

  • A college without walls. Learning first assistant skills.

    abstract::This course for expanded perioperative role assumption as an RNFA intends to prepare nurses who eventually can become individually responsible for comprehensive care of the patient undergoing surgical intervention, and help them establish collegial relationships with other nursing colleagues, surgeons, and health care...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69852-4

    authors: Rothrock JC

    更新日期:1987-05-01 00:00:00

  • Transscleral cyclophotocoagulation. A laser treatment for glaucoma.

    abstract::Ophthalmologists have been searching for a treatment to control intraocular pressure in difficult cases of glaucoma. The ideal treatment is one that is simple and effective and has few side effects. Transscleral cyclophotocoagulation is less damaging to the ciliary process than cyclocryotherapy in which a probe cooled...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69780-4

    authors: Langseth FG

    更新日期:1988-12-01 00:00:00

  • Selection of a method to rate the strength of scientific evidence for AORN recommendations.

    abstract::The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability o...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2010.11.034

    authors: Steelman VM,Pape T,King CA,Graling P,Gaberson KB

    更新日期:2011-04-01 00:00:00

  • Clinical Issues-June 2016.

    abstract::Use of alcohol (ethanol)-based hand rubs (ABHRs) during pregnancy Key words: alcohol, ethanol, hand rub, ABHR, hand sanitizer. Working when experiencing a shingles infection Key words: shingles, varicella, zoster, employee health. Cleaning rigid containers Key words: rigid container, container, instrument pan. ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2016.04.006

    authors: Wood A,Ogg MJ,Chambers K

    更新日期:2016-06-01 00:00:00

  • Body contouring. Suction-assisted lipolysis and fat transplantation techniques.

    abstract::Suction lipolysis is a technique of blunt aspiration of fat that allows contouring and shaping of fatty distributions in a variety of areas of the body. Sufficient experience with the technique exists so that it may be considered an acceptable and safe procedure in the armamentarium of the plastic and reconstructive s...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69126-1

    authors: Grossman JA

    更新日期:1988-10-01 00:00:00

  • Fibrous bile duct obstructions. Diagnosis, treatment, prognosis.

    abstract::International experiences with operative repair of fibrous strictures indicate that satisfactory results are obtained with 80% to 85% of patients at least three years after the stent is removed. Although opinion regarding the length of time stents should be left in place is not unanimous, stents usually can be removed...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)66745-3

    authors: Braasch JW,Gasbarro KA

    更新日期:1990-10-01 00:00:00

  • Using games to provide interactive perioperative education.

    abstract::Perioperative nurses must use critical thinking and sound clinical judgment to meet their patients' needs safely and effectively. This requires the integration and continual updating of large amounts of detailed clinical information. Innovative education strategies are designed to make teaching and learning more inter...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2011.01.018

    authors: Carifa L,Janiszewski Goodin H

    更新日期:2011-10-01 00:00:00

  • Conversion to Chlorhexidine Gluconate for Perioperative Vaginal Preparation: An Evidence-Based Process Improvement Project.

    abstract::Surgical site infections (SSIs) occur during the postoperative period and involve the operative site. To lower the occurrence of SSIs in their patient population, the gynecology SSI prevention committee at a large academic medical institution initiated a process improvement project examining vaginal antiseptic skin pr...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1002/aorn.12747

    authors: Lee ASD

    更新日期:2019-08-01 00:00:00

  • The pregnant OR employee. Part I: Ensuring maternal health.

    abstract::By following these guidelines, a pregnant woman working in the OR can maintain her health despite an erratic schedule, constant periods of standing, and exposure to radiation. Part II of this article will focus on infectious diseases and chemicals, what could happen with maternal exposure, and preventative measures. ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)68354-9

    authors: Drinville-Shank G

    更新日期:1987-02-01 00:00:00

  • Guideline implementation: surgical instrument cleaning.

    abstract::Cleaning, decontaminating, and handling instructions for instruments vary widely based on the type of instrument and the manufacturer. Processing instruments in accordance with the manufacturer's instructions can help prevent damage and keep devices in good working order. Most importantly, proper cleaning and disinfec...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2015.03.005

    authors: Cowperthwaite L,Holm RL

    更新日期:2015-05-01 00:00:00