Factors Disrupting the Preference Card Management Process: A Root Cause Analysis

Abstract Preference cards, the nexus of an efficient OR, help ensure that OR personnel have what they need to safely and efficiently care for surgical patients. In June 2013, a new electronic health record (EHR) was implemented in the ORs of the Duke University Health System, Durham, North Carolina....

Full description

Saved in:
Bibliographic Details
Published in:AORN journal 2016-01, Vol.103 (1), p.105.e1-105.e12
Main Authors: Dizon, Jennifer M., Richesson, Rachel L., Lytle, Kathryn S., Hawks, Sharon J.
Format: Article
Language:English
Subjects:
Anesthesia & Perioperative Care
Appointments and Schedules
automated carousel system
electronic health record
Electronic Health Records
Health care delivery
Humans
Medical-surgical nursing
North Carolina
Nursing
Operating Rooms
Patient Safety
Perianesthesia
pick list
preference card
Root Cause Analysis
Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Preference cards, the nexus of an efficient OR, help ensure that OR personnel have what they need to safely and efficiently care for surgical patients. In June 2013, a new electronic health record (EHR) was implemented in the ORs of the Duke University Health System, Durham, North Carolina. Although it was an integrated system, the EHR disrupted supply management in the OR, which affected the availability of correct resources. The project team performed a process-improvement project using root cause analysis (RCA) to identify the factors that led to the disruption in the preference card management process for orthopedic surgical procedures. Team members identified that a chief cause of resource disruption was the mistiming of interface messages that created the pick lists and requisition forms. Based on the results of the RCA, the project team developed and implemented recommendations for process improvement.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2015.11.018