Home
Resource
The study of the effectiveness of change in practice with the implementation of the perioperative surgical home model
PDF
PDF format is widely accepted and good for printing.
Plug-in required
Access to this PDF has been restricted at the author's request.
Citation & Export
View Usage Statistics
Staff View

Citation & Export
Hide

Simple citation

Enyaosa, Cordelia H.. The study of the effectiveness of change in practice with the implementation of the perioperative surgical home model. Retrieved from https://doi.org/doi:10.7282/t3-5ac1-zz81

Export

Click here for information about Citation Management Tools at Rutgers.

Statistics
Hide

Description

TitleThe study of the effectiveness of change in practice with the implementation of the perioperative surgical home model
NameEnyaosa, Cordelia H. (author); Avadhani, Amita (chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-01 (degree)
SubjectPerioperative surgical home model, Post-Master's DNP Practice, Health services administration, Surgical nursing, Patient-centered health care
Extent1 online resource (101 pages) : illustrations
DescriptionPurpose: Operational cancellations have placed a significant burden on healthcare providers. This study aims at performing an analysis of findings with regards to the outcomes from a practice change at the Northern New Jersey Healthcare System (NNJHS) in terms of the volume of cancellations, delays, operating room (OR) lag time exceeding target threshold and inefficient OR utilization. This was with the aim of providing recommendations to improve the current perioperative surgical home (PSH) model.
Methodology: PSH program evaluation was undertaken using a retrospective chart review of the compare the before and after records to evaluate the anticipated outcomes of a PSH model. The two study groups were sourced from two sequential periods between the first six months of 2017 and 2018. Tests of significance was assessed with McNemar chi-square tests with the level of significance set at 95% confidence interval (p value <0.05).
Results: The overall cancellation rate in NNJHS dropped by 2.0% while the OR lag-time and first case on time starts increased by 14% and 3%. The OR utilization rate decreased by 5.3% following the implementation of the PSH model. Cancellations due to environmental and patient-related issues increased by 3.8% and 8.8% (p value <0.001). Cancellation due to health status dropped from 32.2% in 2017 to 24.7% in 2018 (p value <0.001).
Implications for Practice: The economic cost benefits of PSH model will help improve OR inefficiencies by decreasing overall cancellations and utilization rate. The financial benefits will help decrease hospital costs and increase workflow efficiency. The policy implication is when benchmarks set by the National Surgery Office (NSO) have not been reached resulting in a performance improvement plan or potential termination of employment.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-5ac1-zz81
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
Version 8.5.5
Rutgers University Libraries - Copyright ©2024