Applying Key Interventions to a Practice Problem Essay

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Applying Key Interventions to a Practice Problem Essay

Capstone Project- Part 6

The first orders (Part 1,2, 3, 4, 5) #226133, 226279, 226280, 226281, 226567 and the writer #1747.

Location of Practice Experience: Saint Joseph Pain and Rehabilitation Center

Improvement on time out process before procedures.

The final step is to develop the plan discussing the steps clearly and succinctly. The plan must be evidence based .

Post an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

The sources have to be 5 years or less and it has to be wrote in APA 7th edition.

Applying Key Evidence-Based Interventions to Resolve the Problem of Wrong-Site Surgeries (WSS) Due to Non-Observance of Universal Time-Out Protocols at St. James Pain and Rehabilitation Center

It is an accepted fact that regardless of the level of training and intellect of every human being; they will at one point or another make mistakes, forget details, downplay risks, and naturally find themselves on autopilot. This is why the OR team should adopt teamwork and pace everyone at the same level without intimidation for successful avoidance of sentinel events. The purpose of this paper is to demonstrate how key evidence-based interventions can be applied to resolve the time-out problem at the above facility. Applying Key Interventions to a Practice Problem Essay

How to Apply Evidence-Based Interventions in Resolving the Time-Out Problem

  1. Removal of barriers to communication such as the surgeon’s ego to facilitate effective communication between OR team members. This i about eliminating the hierarchy to enable anyone to point out when mistakes are about to happen.
  2. Facilitating buy-in from the surgeons, the OR nurses, the administration, the management, and the support staff.
  • Emphasizing team approach and team responsibility. This removes the name-blame-shame culture.
  1. Encouragement of situational awareness for all OR staff. There should be no distractions when time-out is in force. Attention should be paid to each step instead of just going through them mechanically.
  2. OR staff retraining (everybody regardless of hierarchy) by resource persons from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
  3. Performing accurate surgical scheduling to avoid unintentional mix-ups.

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  • The use of a perioperative checklist such as the Joint Commission’s Universal Protocol.
  • If possible, the facility should invest in an interactive electronic checklist system or iECS. This will harness the effectiveness and accuracy of technology to complement the human effort while reducing the likelihood of human error (Rothman et al., 2016; Palatnik, 2016). Applying Key Interventions to a Practice Problem Essay
  1. Avoiding the use of chlorhexidine-based skin preparation solutions and opting for iodine-based solutions. The former easily erase surgical markings of operation sites than the latter. This decision is made from a patient safety perspective rather than from an antimicrobial efficacy perspective. This is stated because the recommendations are different depending on the standpoint (Maiwald & Widmer, 2017).
  2. The circulator nurse should preferably lead the time-out procedure, with input from the surgeon and the anesthetist at the appropriate time.
  3. Strict monitoring of compliance for every procedure performed.
  • Vesting of responsibility on everyone in the OR team. No one is more important than the other in the face of patient safety.
  • James Pain and Rehabilitation Center leadership to actively promote patient safety and continually encourage staff to participate of their own volition in patient safety initiatives and programs. This should be part of the strategic objectives of the organization and should also be put in the formal institutional policies and procedures. The Donabedian school of thought for quality requires that changes should be made in the organization’s structure, processes, and outcomes (Moore et al., 2015). This is what has been outlined above. Applying Key Interventions to a Practice Problem Essay 

Appendix

Checklist Sample

References

Maiwald, M., & Widmer, A.F. (2017). WHO’s recommendation for surgical skin antisepsis is premature. The Lancet Infectious Diseases, 17(10), 1023-1024. https://doi.org/10.1016/S1473-3099(17)30448-6

Moore, L., Lavoie, A., Bourgeois, G., & Lapointe, J. (2015). Donabedian’s structure-process-outcome quality of care model. Journal of Trauma and Acute Care Surgery, 78(6), 1168–1175. Doi: https://doi.org/10.1097/TA.0000000000000663

Palatnik, A. (2016). To err is human. Nursing Critical Care, 11(5), 4. Doi: https://doi.org/10.1097/01.CCN.0000490961.44977.8d

Rothman, B.S., Shotwell, M.S., Beebe, R., Wanderer, M.Phil., J.P., Ehrenfeld, J.M., Patel, N., Sandberg, W.S. (2016). Electronically mediated time-out initiative to reduce the incidence of wrong surgery: An interventional observational study. Anesthesiology, 125(3), 484-494. https://doi.org/10.1097/ALN.0000000000001194

Applying Key Interventions to a Practice Problem Essay