Reducing Same-Day Surgical Delay &amp; Cancellation Occurrences

Hostetler, Lauren M.

Hostetler, L. M. (2020). Reducing Same-Day Surgical Delay & Cancellation Occurrences: A Quality Improvement Project in an Outpatient Surgery Center.

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Title	Reducing Same-Day Surgical Delay & Cancellation Occurrences
Abstract	Patients presenting for surgical procedures must meet specific criteria in order to be deemed ready for surgery. Same-day surgical delays and cancellations often occur due to patients’ inability to follow preoperative instructions. The goal of this quality improvement project was to decrease the number of same-day surgical delay/cancellation occurrences due to patient nonadherence of preoperative instructions. The Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Cycle was used in order to test an intervention on a smaller scale in order to determine if it leads to improvement. An evidence-based, standardized preoperative instruction pamphlet was developed and distributed to the patients across three specialties at an outpatient surgery center over a four-week time period. Surgical delay/cancellation occurrences decreased from 4.94% in the pre-intervention phase to 0.57% in the intervention phase. All same-day case cancellations during this project occurred due to patients’ nonadherence to preoperative instructions, more specifically, fasting guidelines. Evidence supports using a standardized, evidence-based, written pamphlet for delivery of preoperative instructions in successfully reducing same-day surgical cancellations. Further research is needed in preoperative instructions for patients speaking languages other than English as well as for patients who cannot read.
Date	2020

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Title: Reducing Same-Day Surgical Delay & Cancellation Occurrences: A Quality Improvement Project in an Outpatient Surgery Center
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Subject: Preoperative education, Preoperative care, Medical appointments and schedules, Ambulatory surgery, Patient education, Patient compliance, Electronic dissertations
Description: Patients presenting for surgical procedures must meet specific criteria in order to be deemed ready for surgery. Same-day surgical delays and cancellations often occur due to patients’ inability to follow preoperative instructions. The goal of this quality improvement project was to decrease the number of same-day surgical delay/cancellation occurrences due to patient nonadherence of preoperative instructions. The Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Cycle was used in order to test an intervention on a smaller scale in order to determine if it leads to improvement. An evidence-based, standardized preoperative instruction pamphlet was developed and distributed to the patients across three specialties at an outpatient surgery center over a four-week time period. Surgical delay/cancellation occurrences decreased from 4.94% in the pre-intervention phase to 0.57% in the intervention phase. All same-day case cancellations during this project occurred due to patients’ nonadherence to preoperative instructions, more specifically, fasting guidelines. Evidence supports using a standardized, evidence-based, written pamphlet for delivery of preoperative instructions in successfully reducing same-day surgical cancellations. Further research is needed in preoperative instructions for patients speaking languages other than English as well as for patients who cannot read.
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Contributor: Hostetler, Lauren M. (author), (Colleen Barrett) (Thesis advisor), (Bernard J. Gilligan III) (Committee member), Clarion University of Pennsylvania (Degree grantor), Edinboro University of Pennsylvania Department of Nursing (Degree grantor)
Date: 2020
Type: Text, Dissertation/Thesis
Format: electronic
Identifier: clar:430
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