Maintaining Perioperative Normothermia: Sustaining an Evidence-Based Practice Improvement Project

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• 作者：Rona F. Levin ; PhD ; RNAuthor Vitae ; Fay Wright ; PhD ; RN ; APRN-BCAuthor Vitae ; Kathleen Pecoraro ; MSN ; RN ; CPANAuthor Vitae ; Wendy Kopec ; BSN ; RN ; CNORAuthor Vitae
• 关键词：normothermia ; quality improvement ; evidence-based practice ; unintentional hypothermia ; sustainability project
• 刊名：AORN Journal
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：103
• 期：2
• 页码：213.e1-213.e13
• 全文大小：595 K

文摘

Unintentional perioperative hypothermia has been shown to cause serious patient complications and, thus, to increase health care costs. In 2009, an evidence-based practice improvement project produced a significant decrease in unintentional perioperative hypothermia in colorectal surgical patients through monitoring of OR ambient room temperature. Project leaders engaged all interdisciplinary stakeholders in the original project, which facilitated the sustainability of the intervention method. An important aspect of sustainability is ongoing monitoring and evaluation of a new intervention method. Therefore, continued evaluation of outcomes of the protocol developed in 2009 was scheduled at specific time points after the initial small test of change with colorectal patients. This article focuses on how attention to sustainability factors during implementation of an improvement project led to the sustainability of a protocol for monitoring OR ambient room temperature with all types of surgical patients five years after the initial project.