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Surgical Care Improvement Project

Surgical Care Improvement Project. UNIVERSITY MEDICAL CENTER Quality Management July 15, 2008. Challenges . Medical and Nursing Staff Lack of knowledge Poor documentation Abstraction Complex Frequent guideline changes. Challenges. Processes Patient flow Surgical patients

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Surgical Care Improvement Project

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  1. Surgical Care Improvement Project UNIVERSITY MEDICAL CENTER Quality Management July 15, 2008

  2. Challenges • Medical and Nursing Staff • Lack of knowledge • Poor documentation • Abstraction • Complex • Frequent guideline changes

  3. Challenges • Processes • Patient flow • Surgical patients • Departmental segregation • Surgical Clinics/Ambulatory Surgery Department • Floor Nurses/OR personnel • Surgical Staff/Anesthesia department • UMC/other LSU facilities

  4. Success • Leadership backing • Pre-printed Pre-Operative Orders • Pre-printed Post-Operative Orders • Posted prompts and reminders to facilitate documentation • Medical Staff departmental education • Nursing Staff education through MC Strategies

  5. Success • Antibiotics given in OR • Literature given to surgeons supporting antibiotic selection and discontinuing antibiotics within 24 hours. • Post-Op order sets revised for antibiotic duration not to exceed 24 hours

  6. Success • Nurse for Concurrent Review • Reviews surgical charts for compliance with indicators • Good rapport with surgeons and nursing staff • Intervenes with Medical Staff if indicator not met • Intervenes with Nursing Staff if indicator not met Our Most Successful Strategy

  7. SCIP Checklist *Any contraindication must have a reason documented by MD/APN/PA.

  8. Our Progress SCIP 2006-2007 Pre-Printed Orders in place Concurrent Review in place

  9. Questions???

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