Clinical Issue: Decreased use of the Debrief Tracker Survey (DTS) by Registered Nurses within the Perioperative Department fell at a low of 60%. The reporting system tracks in variances that may arise before, during , or after a surgical procedure.Absent responses and feedback increases potential safety risks for patients in the surgical setting when surveys are not done.Ensuring consistent, accurate, understandable clinical documentation is often a challenge when absent entries fail to identify problems or concerns for the patient.Description of the Team: Registered Nurses at the bedside, Leadership, Surgeons, Information Technology, Quality and Patient Safety RNs. As well, all members who make up the surgical team for planning, and intraoperative, and postoperative functions as well.Preperation and Planning: Meet with team for steps to eliminate snags, Set time frame of 1- 2 weeks to update the survey, collect past and present measures, and review, stabilize, & share.
Assessment: RNs unable to complete survey due to absent surgeon names, and unable to free text missing information. Thus creating a less than ideal utilization rate. The current Debrief Tracker Survey is outdated, and will require updating by the IT department immediately. Requires the use of Plan, Do, Check, Act Model (PDCA) to improve compliance of entries.Implementation:Linking solutions for missing data needed to complete surveys accurately. Will identify two administrators to oversee the Debrief Survey, and collaborate with the software administrator to make transition to new system easier. Will utilize super users and in-service to educate the team on requirements for documenting. Back up method for completing survey if electronic system is down.Outcome: A user friendly DTS template uploaded with all surgeon and staff names to select from. A compressive list will outline negotiable and non-negotiable data entries for new version coming soon. Increased compliance of use by RNs will provides base line of performance gaps, growth in engagement by data input. Improved patient care by tracking problematic issues and correcting them by: Replacing old/malfunctioning equipment, Identifying lateness of team members, addressing Short Staffing, meeting Joint Commission requirements (Safety reports).Implications for Perioperative Nursing:Having RNs and other team members inspire change is an antidote to combat problems facing healthcare today. Clinical improvement projects may bring slow, steadfast, or speedy implementation, yet it yields safer patient care. PDCA is a model that carries change til the end for improving patient safety and quality care warranted. The importance of promoting continuous quality improvement by utilizing the PDCA Model helps error prone professionals and workplace settings become safer.