Establishing nursing-sensitive quality indicators for the operating room: A cross-sectional Delphi survey conducted in China

Wu, Qi; Huang, Lihua; Xing, Mingzhao; Feng, Zhixian; Shao, Linjun; Zhang, Meiyun; Shao, Rong‐Ya

doi:10.1016/j.aucc.2016.04.003

Cited by 23 publications

(31 citation statements)

References 18 publications

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“…A total of 146 articles were retrieved on initial search, with reprehensive studies as listed (Bennett & Neill, 2008;Chen et al, 2017;Holley, 2006;Lindberg & Ludvigsen, 2012;de Sousa, Silva, Bezerra, de Freitas, & Miasso, 2013;Wu et al, 2017). The flow chart of literature search and retrieval is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…In several countries such as United States and Australia, data collection and monitoring of indicators are performed by dedicated specialised agencies (Bonfill et al, 2013;Burston, Chaboyer, & Gillespie, 2014;Du Moulin, van Haastregt, & Hamers, 2010;Nakrem, Vinsnes, Harkless, Paulsen, & Seim, 2009). Although China was a late starter with respect to establishment of NSQIs in nursing care, the subject has evoked considerable research interest (Chen et al, 2017;Li et al, 2014;Wu et al, 2017).…”

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confidence: 99%

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Construction of nursing‐sensitive quality indicators for haemodialysis using Delphi method

Gao

Liu

Che

et al. 2018

Journal of Clinical Nursing

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Construction of nursing‐sensitive quality indicators for haemodialysis using Delphi method

Gao

Liu

Che

et al. 2018

Journal of Clinical Nursing

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“…[3] Day of surgery (DOS) cancellations are a recognized problem in perioperative care and one of the nursing-sensitive quality indicators in perioperative care. [4] A single cancellation causes personal and economic harm for the patient [5] and resource related waste for organizations. [6] Cancellation occurrences vary widely across health care organizations; the highest rate may be more than 700 times higher than the lowest.…”

Section: Introductionmentioning

confidence: 99%

Financial cost of elective day of surgery cancellations

Turunen

Miettinen

Setälä

et al. 2018

JHA

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Operative care is one of the major areas of healthcare services as over 310 million surgeries are conducted yearly. Surgery cancellations is a widely used indicator when evaluating the quality of preoperative care. Cancellations cause financial lost for organizations, however there is only limited research about the costs. The aim of this study was to evaluate the cost of elective day of surgery (DOS) cancellations in 13 operative specialties at a university hospital in Finland between September 1, 2015 and May 31, 2016 after a structured preoperative protocol was implemented to practice and a cancellation rate of 4.7% was recognized. Procedure prices conducted the data for the research and were collected from the hospital’s invoicing system. Financial loss and savings of cancellations were calculated from the total cost of procedures. As a result the total cost of DOS cancellations during the nine-month time period was 953,374.27 euros and mean loss of a single cancelled operation was 2,459.91 euros. The total of material savings for the hospital were 106,917.33 euros. As a conclusion, DOS cancellations cause unnecessary wastage, and financial aspects should be followed and evaluated systematically by setting goals and providing continuing developments.

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“…[4] Magnet designation, is an international accreditation offered to organizations around the world. Additionally, in a Magnetrecognized organization, where shared governance is practiced, it is imperative that nurses and other health care professionals have access to data to improve patient outcomes.…”

Section: Background and Significancementioning

confidence: 99%

Charting the course for American Nurses Credentialing Center–Approved perioperative nurse-sensitive indicators

Shepherd¹,

Hawthorne²

2017

JNEP

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The current health care environment, with increasing public awareness of and attention to patient safety, mandates the delivery of exceptional quality care. To meet the health care requisites of the perioperative patient population, clinical nurses have identified the need for nurse-sensitive clinical indicators for this setting. We describe the strategies used to identify, obtain American Nurses Credentialing Center approval for, and integrate nurse-sensitive indicators into the perioperative setting to advance a Magnet culture. Prior to this, nurse-sensitive indicators for the perioperative setting that enabled nurses to monitor and improve patient care outcomes, in accordance with the standards of a Magnet-recognized hospital, had not been formally established. A review of the literature yielded a list of potential metrics, which included normothermia, patient falls with harm, and retained surgical items. Methodology and data collection processes for these metrics were established, facilitating quarterly Nursing Dashboards and collaboration among nurses to improve patient outcomes. This groundbreaking initiative enables nurses to routinely evaluate whether the structures and processes of care effectively yield quality outcomes. This foundational work has broader implications for nursing practice, because these quality metrics can easily be translated into perioperative settings in other health care organizations.

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Establishing nursing-sensitive quality indicators for the operating room: A cross-sectional Delphi survey conducted in China

Cited by 23 publications

References 18 publications

Construction of nursing‐sensitive quality indicators for haemodialysis using Delphi method

Construction of nursing‐sensitive quality indicators for haemodialysis using Delphi method

Financial cost of elective day of surgery cancellations

Charting the course for American Nurses Credentialing Center–Approved perioperative nurse-sensitive indicators

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