Track: Clinical Improvement/Innovation
Clinical Improvement/Innovation Poster Session (Posters #244-#253)
What’s Your Preference?: Increasing Surgeon Preference Card Edits Through Staff Education
Vicki Kamida RN, MSN, CNOR
Nate Mason, RN, BSN, CNOR
Jennette Hackett, RN, BSN
Infrequent updating of surgeon preference cards can lead to inaccurate case preparation, affecting OR utilization and costs. The purpose of this project was to improve unit-based staff updating of surgeon preference cards to ensure accuracy.
Description of the Team
An interprofessional, unit-based team was formed including: Registered Nurses, surgical technologists and surgery support specialists.
Preparation and Planning
To identify the extent of the problem, the team examined data on surgeon preference card updates extracted from our electronic health record. The team also collected pre-intervention data regarding surgeon preference card accuracy to confirm that when cards were infrequently updated, they were also inaccurate. The team then analyzed the data to determine opportunities for increased updating of surgeon preference cards.
Review of five months of data (January 2019 – May 2019) indicated that 51 surgeon preference cards were updated during that period, for an average of 10 cards/month. Pre-intervention assessment conducted during the week of 5/6/2019-5/13/2019 indicated that 40% of surgeon preference cards were inaccurate but only 2% of cards were edited.
The team determined that a unit-based staff education would increase staff awareness of preference card inaccuracy, reinforce the importance of preference card updates, and remind staff of the preference card editing process.
The team used staff communication boards to display pre-assessment data regarding preference card accuracy and information regarding the preference card editing process. The team also created a job aid to facilitate preference card edits. Unit champions reminded staff of the preference card editing process and the need to edit cards to increase surgeon preference card accuracy. The communication boards and job aid were implemented in June, 2019.
Seven months after the staff education project (June – December 2019) preference card updates increased from an average of 10 per month to 26 per month (160% improvement). Preference card accuracy increased from 60% of cards assessed to be accurate (n=45) to 80% accuracy (n=45).
Implications for Perioperative Nursing
Staff education, communication board, and job aid were important elements for increasing surgeon preference card editing, which ensures accuracy of the preference cards. Ensuring accuracy of surgeon preference cards is an effective strategy to reduce OR utilization and costs.
Co-Authors: Jennette Hackett, Nathaniel Mason
Vicki L. Kamida
Clinical Nurse III
Cedars-Sinai Medical Center
La Canada, California