Evidence-Based Practice Poster Session (Posters #21-#28)
23 - Operating Room: A Standardized Environment
Description: AORN 2019 Abstract SubmissionOperating Room: A Standardized EnvironmentThe purpose of this presentation is to discuss: what is standardization and why is it useful; explore: how standardization is used in healthcare; and to identify: how to maintain enthusiasm in a standardized environment. So why is standardization important? In 1999 the Institute of Medicine’s (IOM) wrote a report, called “To Err is Human: Building a Safer Health Care System” the report indicated “that at least 44,000 Americans die each year as a result of medical errors” and the “total national costs of preventable adverse events was estimated to be $29 billion. It was also estimated that 40% to 50% of hospital medical errors take place in the operating room (OR). These statistics warrant investigation of the application of a standardized environment in the operating room. My clinical question is: Does the use of a standardized environment versus a non-standardized environment help maintain focus and enthusiasm amongst OR nurses?A literature search or relevant peer-review articles between 2014-2019 was conducted using CINAHL Complete, Cochrane Library and PubMed and the search terms Standardization, healthcare, nursing, process improvement, lean, six sigma, operating room. Search results concluded that standardization in healthcare can be utilized to achieve optimal patient quality of care and increased efficiency; nursing enthusiasm and focus are attained through the Lean philosophy of respecting people, enabling growth and listening to staff members solutions and problem solving skills while engaging staff to help develop efficient workflows in their ever changing environments; and that by engaging all levels of staff in the improvement process, a culture of efficiency/excellence is created and that is something that everyone can be proud to be a part of. The results imply that the application of standardization processes can yield fewer medical errors and increase nursing satisfaction.