Safer Documentation in the Peri-Anesthesia Microsystem: A Virtual Reality Initiative

Author

Sahand HajianFollow

Date of Graduation

Fall 12-12-2025

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

Eliza Lopes

Second Advisor

Robert Patterson

Abstract

Setting: The pediatric perianesthesia unit (pre-operative and post-anesthesia care unit). Problem: Gaps in perianesthesia documentation contribute to poor handoff communication, leading to adverse events and increased hospital costs. Additionally, inconsistent documentation reduces clarity and consistency during handoffs. Context: Staff in the microsystem reported low confidence scores with required OP-Time documentation, inconsistent workflows, and I-PASS handoff expectations. These factors contribute to incomplete charting and a lack of standardization across providers. Interventions: A two-part educational intervention was conducted, consisting of eight sessions. The first component is a Virtual Reality (VR) simulation that demonstrates an accurate perianesthesia I-PASS handoff. The second component is a didactic education related to organizational OP-Time documentation policies and further I-PASS handoff elements. Methods: Pre- and post-intervention documentation audits were conducted to evaluate the accuracy and completeness of required OP-Time documentation elements and handoff components. Results: Documentation compliance increased from 85% to 89% post-intervention, indicating a 4% positive trend towards the target goal. Additionally, staff confidence improved 88% regarding hospital policies and 80% related to required documentation and handoff requirements after the intervention. Conclusion: The VR-based documentation module was an effective strategy to improve documentation accuracy and staff confidence. Although the project did not reach the intended 95% benchmark, the intervention produced meaningful improvements in documentation quality and nurse handoff consistency. Continued integration of education, consistent audits, and reinforcement are recommended to further enhance patient safety in the perianesthesia microsystem and increase compliance.

Recommended Citation

Hajian, Sahand, "Safer Documentation in the Peri-Anesthesia Microsystem: A Virtual Reality Initiative" (2025). Master's Projects and Capstones. 1951.
https://repository.usfca.edu/capstone/1951