New Hanover Regional Medical Center (NHRMC) is an 855-bed level II trauma community-based hospital serving seven rural counties in southeastern North Carolina. As the only trauma center in the area, the sheer volume of patients requiring care and eventual hospitalization resulted in significant capacity issues for our organization. Moreover, the lack of standardization substantially created variability in the quality of surgical care being delivered. These emerging themes resulted in increased complications and readmissions, as well as OR inefficiencies, and case delays and cancellations, leading to millions of dollars in CMS financial penalties.

Within the scope of our perioperative care, inadequate patient outcomes created the need to examine our delivery of care methods and identify those variable practices requiring clinical standardization overhauls. While a laborious task, cause-and-effect thinking identified archaic traditions requiring the adoption of an evidence-based best practice improvement...

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