Date of Graduation

Fall 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Theresa Mostasisa

Abstract

Enhanced Recovery after Surgery (ERAS) has been proven by evidence to lower both recovery time and postoperative complication rates while also being cost-effective. It is a new recovery process that consists of several bundles in order to meet adherence. The hospital site where this project was conducted was at a Northern California Medical Center which provides care for in-patient postoperative, urgent and non-urgent cases. On our assigned units, we identified the potential for improvement after observing a lack of standardization of real-time charting for ERAS. This resulted in retro data, which is not an effective way to collect data when attempting to meet the hospital’s year-end target percentage.

At the start of this project, the hospital was 1% below their year-end ERAS target percentage for non-urgent cases and 2% below for urgent cases. We assessed the current performance improvement action plans and found nurses were not currently utilizing appropriate ERAS tools to capture adherence. Such ERAS tools included, use of the Sidebar Summary and Real Time Tracking Tool.

Given these results we recommended the intervention of utilizing the side-bar summary on the electronic health record and a daily tracking tool, which both together would help create increased rates of real-time data, further improving the accuracy of tracking adherence. In conclusion, after three months of data collection, assessment, and implementation of the side-bar summary and daily tracking tool, there was an improvement towards their year-end goal for ERAS adherence and essentially moving towards meeting year end goal.

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