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Discussion

Quality/research project

I am fairly new to outpatient surgery or my hospital’s ambulatory surgery center ( after 30 + years as a medical Surgical nurse. I was asked to initiate a research project for quality improvement on an issue that our outpatient surgery center faces and implement that change. 
 

I have no idea of any research project I can do. We don’t have a high fall rate.  Our nurses satisfaction is very high.  Does anybody have any ideas?

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    53 minutes ago, Kimmadsim said:

    quality improvement on an issue that our outpatient surgery center faces

    Shouldn't any research begin with an problem identified by those actually working in the area? Is a survey in order? 

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    • Experts

    Need to ask for a copy of last QI review to see what issues were noted, then select item for research + proposed change.

    Ideas to spark your QI research:

    How to Identify and Implement Quality Improvement Projects ...

    Examples of Quality Improvement Projects in Overall Patient Care

    Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture

    Healthcare Acquired Infections: In Outpatient Settings | HAI | CDC

    Six Strategies for Improving Surgical Outcomes

    CMS: Ambulatory Surgical Center Quality Reporting (ASCQR) Program

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    Measures for the CY 2022 Payment Determination

    • ASC-9 Endoscopy/Polyp Surveillance: Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
    • ASC-11 Cataracts: Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery*
    • ASC-12 Facility 7-Day Risk-Standardized Hospital Visit Rate after Outpatient Colonoscopy**
    • ASC-13 Normothermia
    • ASC-14 Unplanned Anterior Vitrectomy
    • ASC-17 Hospital Visits After Orthopedic Ambulatory Surgical Center Procedures**
    • ASC-18 Hospital Visits After Urology Ambulatory Surgical Center Procedures**

     

    Going Lean, Part 3: Improve Patient Wait Times

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    Perform a “waste walk.” “Our entire staff followed a mock patient throughout a clinical encounter and mea­sured wait times between value-added activities,”

     

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    Talk to the staff, ask the manager what sh/he sees are issues.

    The links above by NRSKarenRN are an excellent resource and great place to start.

    This is a great way for you to get to know your new Unit.

    Best of Luck

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