Date of Graduation

Summer 2023

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Susan Mortell DNP, RN, CNL

Abstract

Problem: Lack of surgery preparation education plays a negative role in patient confidence when planning procedures, often resulting in last-minute same-day cancellations. These cancellations create a disruption in workflow in addition to lost expenses for Surgery Center E.

Context: The largest preventable cause of same-day cancellations for surgeries at the facility is related to patients not adhering to NPO (nothing by mouth) guidelines.

Interventions: Interventions include providing additional education for Surgery Center E staff members, private surgeon offices, and patients so they have a better understanding of why patients must be NPO.

Measures: Schedule audits were conducted to determine the top causes of same-day surgery cancellations pre and post-interventions. Schedule audits were conducted between October 2022 and April 2023 to determine causes of cancellation before additional pre-op education and again between May and July 2023 to analyze the effectiveness of additional pre-op education.

Results: Schedule audits conducted for May, June, and July determined that the overall cancellation rate had been reduced to 4%. Although the decrease in rates was due to overall reduced cancellations by the surgeon offices and OR cancellations.

Conclusions: Overall, the facility has benefitted from keeping detailed cancellation logs to determine the causes of cancellations. While the newly implemented education has been noted as helpful by both patients and surgical center staff, it is recommended that schedule audits continue to be conducted through February 2024 to determine its true effectiveness. Barriers to its effectiveness continue to be varying implementation strategies by the different private surgical offices.

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