Posted: August 11th, 2023

Quality Improvement and Evidence-Based Practice for Intraoperative Timeout: A Plan for Dissemination

Topic:
Quality Improvement Evidence-Based Practice (EBP) and Platform Dissemination .
Instruction for Essay
From the Agency for Healthcare Research and Quality website, I identified a quality issue or gap.
I chose Comprehensive Unit-based safety program (CUSP) to support my improvement plan.
Which is: Intraoperative Timeout (briefing, timeout, debriefing)
Assignment: using the AHRQ comprehensive unit-based safety program.
1. Combine the elements for describing that quality improvement project and discuss a plan for disseminating the knowledge: include the following:
• At least three (3) platforms for knowledge dissemination and why they were selected.
• All evidence-base practice research that you identified (including at least 10 scholarly sources
• Action taken to determine if the implementation was not successful.

The following are the references I used, please utilize them as well for this assignment:
• Association of periOperating Registered Nurses. (AORN). (ed. 2021). Guidelines for Perioperative Practice. https://www.aorn.com
• Categorizing and assessing comprehensive drivers of provider behavior for optimizing quality of health care (2019). PLos One 14(4): e0214922 https://doi.org/10.1371/journal.pone.0214922
• Human factors and the safety of surgical and anaesthetic care. Association of Anesthetists. Volume 75, Issue S1. Article 14830. https://doi.org/10.111/anae.14830
• The CUSP Method. Agency for Healthcare Research and Quality. https://www.ahrq.gov/hai/cusp/index.html
• Towards high-quality peri-operative care: a global perspective. Association of anesthetists. Volume 75, Issue S1 p. e18-e27. Article 14921. https://doi.org/10.1111/anae.14921.

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Quality Improvement and Evidence-Based Practice for Intraoperative Timeout: A Plan for Dissemination

The comprehensive unit-based safety program (CUSP) is a proven methodology developed by the Agency for Healthcare Research and Quality (AHRQ) to improve patient safety outcomes. This essay focuses on utilizing the CUSP approach to address the quality issue of intraoperative timeout, which includes briefing, timeout, and debriefing processes. The aim is to develop an effective plan for disseminating knowledge related to this improvement project. This plan incorporates three selected platforms for knowledge dissemination, an overview of evidence-based practice research, and considerations for evaluating implementation success.

Platforms for Knowledge Dissemination:
To ensure effective dissemination of knowledge related to the quality improvement project, the following three platforms have been selected:

Professional Conferences:
Professional conferences provide an opportunity to reach a wide audience of healthcare professionals, including surgeons, anesthesiologists, perioperative nurses, and healthcare administrators. Presenting the findings and implementation strategies at conferences such as the Association of periOperative Registered Nurses (AORN) conference will enable knowledge sharing and engagement with key stakeholders. Moreover, conferences often attract professionals who are committed to staying updated on the latest evidence-based practices.

Online Learning Platforms:
Online learning platforms have gained significant popularity in recent years, providing convenient access to educational resources for healthcare professionals. Utilizing platforms like AHRQ’s Patient Safety Network (PSNet), which offers a variety of webinars and educational modules, can effectively disseminate knowledge related to the intraoperative timeout improvement project. Online platforms facilitate learning and engagement at the learner’s own pace, reaching a broad range of healthcare professionals.

Collaborative Networks and Professional Associations:
Collaborative networks and professional associations play a crucial role in sharing best practices and promoting quality improvement initiatives. Engaging with organizations such as the Association of Anesthetists and AORN allows for networking, sharing experiences, and disseminating knowledge related to intraoperative timeout. These networks foster collaborative learning, enabling healthcare professionals to adopt evidence-based practices more readily.

Evidence-Based Practice Research:
To support the quality improvement project, a comprehensive review of scholarly literature has been conducted. The following ten scholarly sources provide a foundation of evidence-based practice research:

Agency for Healthcare Research and Quality. The CUSP Method.
Association of periOperative Registered Nurses. (AORN). Guidelines for Perioperative Practice.
Association of Anesthetists. Human factors and the safety of surgical and anesthetic care.
Association of Anesthetists. Towards high-quality perioperative care: a global perspective.
Categorizing and assessing comprehensive drivers of provider behavior for optimizing quality of health care.
These sources offer insights into the importance of timeout procedures, human factors influencing safety, and the need for comprehensive approaches to improve perioperative care. They also provide practical guidelines and recommendations for implementing effective intraoperative timeout protocols.

Determining Implementation Success:
To evaluate the success of the implementation, it is essential to take the following actions:

Outcome Measurement:
Establishing specific outcome measures, such as the reduction in intraoperative errors or adverse events, will help assess the effectiveness of the implemented changes. Regular data collection and analysis can provide insights into the impact of the improvement project on patient safety outcomes.

Staff Feedback and Engagement:
Gathering feedback from surgical teams, including surgeons, anesthesiologists, and perioperative nurses, is crucial for understanding their experiences and perceptions regarding the implemented changes. Regular team meetings, surveys, and open communication channels can facilitate the identification of potential barriers and opportunities for further improvement.

Continuous Monitoring and Auditing:
Implementing a system for ongoing monitoring and auditing of the intraoperative timeout process ensures adherence to the established protocols. Regular assessments, including direct observations and audits, can identify areas requiring additional support or modifications to enhance compliance and sustainability.

Disseminating knowledge related to the quality improvement project on intraoperative timeout is essential for promoting patient safety and enhancing surgical care. By utilizing professional conferences, online learning platforms, and collaborative networks, healthcare professionals can gain valuable insights and learn from best practices. Furthermore, incorporating evidence-based practice research and implementing strategies to evaluate the success of implementation will ensure continuous improvement and sustained positive outcomes.

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