{"id":{"repo_id":"ku","oai_identifier":"oai:kuscholarworks.ku.edu:1808/37121"},"canonical_url":"https://search.dev.ndltd.org/etd/ku/oai:kuscholarworks.ku.edu:1808/37121","repository":{"repo_id":"ku","name":"University of Kansas","base_url":"https://kuscholarworks.ku.edu/server/oai/request"},"display":{"title":"Process Evaluation of a PREVENA™ System Multimodal Quality Improvement Project","abstract":"AbstractProblem: There is a global initiative to decrease surgical site infection (SSIs) in patient populations and a national initiative to reduce SSIs by the Centers for Disease Control and Prevention (CDC). Extended placement of the PREVENA™ System leaves the patient at risk for SSIs. At a large Midwestern not-for-profit hospital, there is a need to create standardization of care for PREVENA™ Systems among the surgical providers.Aim: This project will aim to conduct audits of the Provider PREVENA™ System initiative, evaluate the outcomes of compliance with nursing worklist tasks, and conduct follow-up patient telephone surveys to assess for outpatient complications. Upon completion, an executive summary will be compiled with recommendations.Methods: The proposed strategy for this project was a process evaluation designed to provide information on the effectiveness of a PREVENA™ System quality improvement initiative to decrease outpatient complications for patients discharged from an adult inpatient medical/surgical floor. The population of interest were the surgical providers, nursing staff, and surgical patients. Quantitative data focused on the number of patients who received a PREVENA™ System, those who received appropriate education, labeling, and removal instructions, staff compliance with the order set, and the patient's outpatient course. A round table discussion was conducted with providers about the order set and with nursing staff about nursing task procedures related to the PREVENA™ System and obtained from patients via follow-up phone calls. Descriptive statistics was used for the analysis of quantitative data and a formative assessment to make a qualitative evaluation.Results: Only 15 of the 98 surgical patients (15%) had the PREVENA™ System order set initiated, indicating low compliance and a need for improved education. Eight of the 98 patients (8%) had PREVENA™ System dressing labels in place. Fifty-seven patients (60%) had education printed on the after visit summary (AVS) regardless of the initiation of the order set. Eighteen of the 62 PREVENA™ Systems (29%) that were removed were documented in the flowsheet. Nineteen of the 35 patients (54%) discharged with a PREVENA™ System had Home Health orders. Two of the 35 patients (6%) discharged with a PREVENA™ System were readmitted within 30 days and one of these patients (3%) had a reinfection within 30 days after discharge. Round table discussions revealed education on the order set was minimal, while most of the patients reported in the follow-up phone call survey positively about the education provided at discharge.Conclusion:This process evaluation identified deficits in the PREVENA™ System protocol, and patient and staff education. The lack of compliance with the protocol and education likely contributed to adverse patient outcomes with readmission within 30 days and post-operative infection.Keywords order set, PREVENA™ System, process evaluation, surgical site infections","abstract_html":"AbstractProblem: There is a global initiative to decrease surgical site infection (SSIs) in patient populations and a national initiative to reduce SSIs by the Centers for Disease Control and Prevention (CDC). Extended placement of the PREVENA™ System leaves the patient at risk for SSIs. At a large Midwestern not-for-profit hospital, there is a need to create standardization of care for PREVENA™ Systems among the surgical providers.Aim: This project will aim to conduct audits of the Provider PREVENA™ System initiative, evaluate the outcomes of compliance with nursing worklist tasks, and conduct follow-up patient telephone surveys to assess for outpatient complications. Upon completion, an executive summary will be compiled with recommendations.Methods: The proposed strategy for this project was a process evaluation designed to provide information on the effectiveness of a PREVENA™ System quality improvement initiative to decrease outpatient complications for patients discharged from an adult inpatient medical/surgical floor. The population of interest were the surgical providers, nursing staff, and surgical patients. Quantitative data focused on the number of patients who received a PREVENA™ System, those who received appropriate education, labeling, and removal instructions, staff compliance with the order set, and the patient's outpatient course. A round table discussion was conducted with providers about the order set and with nursing staff about nursing task procedures related to the PREVENA™ System and obtained from patients via follow-up phone calls. Descriptive statistics was used for the analysis of quantitative data and a formative assessment to make a qualitative evaluation.Results: Only 15 of the 98 surgical patients (15%) had the PREVENA™ System order set initiated, indicating low compliance and a need for improved education. Eight of the 98 patients (8%) had PREVENA™ System dressing labels in place. Fifty-seven patients (60%) had education printed on the after visit summary (AVS) regardless of the initiation of the order set. Eighteen of the 62 PREVENA™ Systems (29%) that were removed were documented in the flowsheet. Nineteen of the 35 patients (54%) discharged with a PREVENA™ System had Home Health orders. Two of the 35 patients (6%) discharged with a PREVENA™ System were readmitted within 30 days and one of these patients (3%) had a reinfection within 30 days after discharge. Round table discussions revealed education on the order set was minimal, while most of the patients reported in the follow-up phone call survey positively about the education provided at discharge.Conclusion:This process evaluation identified deficits in the PREVENA™ System protocol, and patient and staff education. The lack of compliance with the protocol and education likely contributed to adverse patient outcomes with readmission within 30 days and post-operative infection.Keywords order set, PREVENA™ System, process evaluation, surgical site infections","abstract_has_math":false,"creators":["Hall, Melissa"],"institution":"University of Kansas","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Paramesh, Colleen"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-05-31","date_published":"2023-05-31","updated_at":"2026-07-24T02:46:05Z","subjects":["Nursing","order set","PREVENA™ System","process evaluation","surgical site infections"],"languages":["en"],"rights":["Copyright held by the author."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["http://dissertations.umi.com/ku:18869"],"render_values":[{"text":"http://dissertations.umi.com/ku:18869","href":"http://dissertations.umi.com/ku:18869","code":true}]}]},"links":{"outbound_url":"https://hdl.handle.net/1808/37121","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Paramesh, Colleen"]},{"key":"dc:creator","label":"Author","values":["Hall, Melissa"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2026-04-13T20:22:10Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2026-04-13T20:22:10Z"]},{"key":"dc:date.issued","label":"Date","values":["2023-05-31"]},{"key":"dc:publisher","label":"Institution","values":["University of Kansas"]},{"key":"dc:type","label":"Dc Type","values":["Dissertation"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Nursing","order set","PREVENA™ System","process evaluation","surgical site infections"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright held by the author."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.other","label":"Dc Identifier Other","values":["http://dissertations.umi.com/ku:18869"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/1808/37121"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["AbstractProblem: There is a global initiative to decrease surgical site infection (SSIs) in patient populations and a national initiative to reduce SSIs by the Centers for Disease Control and Prevention (CDC). Extended placement of the PREVENA™ System leaves the patient at risk for SSIs. At a large Midwestern not-for-profit hospital, there is a need to create standardization of care for PREVENA™ Systems among the surgical providers.Aim: This project will aim to conduct audits of the Provider PREVENA™ System initiative, evaluate the outcomes of compliance with nursing worklist tasks, and conduct follow-up patient telephone surveys to assess for outpatient complications. Upon completion, an executive summary will be compiled with recommendations.Methods: The proposed strategy for this project was a process evaluation designed to provide information on the effectiveness of a PREVENA™ System quality improvement initiative to decrease outpatient complications for patients discharged from an adult inpatient medical/surgical floor. The population of interest were the surgical providers, nursing staff, and surgical patients. Quantitative data focused on the number of patients who received a PREVENA™ System, those who received appropriate education, labeling, and removal instructions, staff compliance with the order set, and the patient's outpatient course. A round table discussion was conducted with providers about the order set and with nursing staff about nursing task procedures related to the PREVENA™ System and obtained from patients via follow-up phone calls. Descriptive statistics was used for the analysis of quantitative data and a formative assessment to make a qualitative evaluation.Results: Only 15 of the 98 surgical patients (15%) had the PREVENA™ System order set initiated, indicating low compliance and a need for improved education. Eight of the 98 patients (8%) had PREVENA™ System dressing labels in place. Fifty-seven patients (60%) had education printed on the after visit summary (AVS) regardless of the initiation of the order set. Eighteen of the 62 PREVENA™ Systems (29%) that were removed were documented in the flowsheet. Nineteen of the 35 patients (54%) discharged with a PREVENA™ System had Home Health orders. Two of the 35 patients (6%) discharged with a PREVENA™ System were readmitted within 30 days and one of these patients (3%) had a reinfection within 30 days after discharge. Round table discussions revealed education on the order set was minimal, while most of the patients reported in the follow-up phone call survey positively about the education provided at discharge.Conclusion:This process evaluation identified deficits in the PREVENA™ System protocol, and patient and staff education. The lack of compliance with the protocol and education likely contributed to adverse patient outcomes with readmission within 30 days and post-operative infection.Keywords order set, PREVENA™ System, process evaluation, surgical site infections"]},{"key":"dc:title","label":"Title","values":["Process Evaluation of a PREVENA™ System Multimodal Quality Improvement Project"]}]}],"canonical_facts":{"dc:contributor.advisor":["Paramesh, Colleen"],"dc:creator":["Hall, Melissa"],"dc:date.accessioned":["2026-04-13T20:22:10Z"],"dc:date.available":["2026-04-13T20:22:10Z"],"dc:date.issued":["2023-05-31"],"dc:description.abstract":["AbstractProblem: There is a global initiative to decrease surgical site infection (SSIs) in patient populations and a national initiative to reduce SSIs by the Centers for Disease Control and Prevention (CDC). Extended placement of the PREVENA™ System leaves the patient at risk for SSIs. At a large Midwestern not-for-profit hospital, there is a need to create standardization of care for PREVENA™ Systems among the surgical providers.Aim: This project will aim to conduct audits of the Provider PREVENA™ System initiative, evaluate the outcomes of compliance with nursing worklist tasks, and conduct follow-up patient telephone surveys to assess for outpatient complications. Upon completion, an executive summary will be compiled with recommendations.Methods: The proposed strategy for this project was a process evaluation designed to provide information on the effectiveness of a PREVENA™ System quality improvement initiative to decrease outpatient complications for patients discharged from an adult inpatient medical/surgical floor. The population of interest were the surgical providers, nursing staff, and surgical patients. Quantitative data focused on the number of patients who received a PREVENA™ System, those who received appropriate education, labeling, and removal instructions, staff compliance with the order set, and the patient's outpatient course. A round table discussion was conducted with providers about the order set and with nursing staff about nursing task procedures related to the PREVENA™ System and obtained from patients via follow-up phone calls. Descriptive statistics was used for the analysis of quantitative data and a formative assessment to make a qualitative evaluation.Results: Only 15 of the 98 surgical patients (15%) had the PREVENA™ System order set initiated, indicating low compliance and a need for improved education. Eight of the 98 patients (8%) had PREVENA™ System dressing labels in place. Fifty-seven patients (60%) had education printed on the after visit summary (AVS) regardless of the initiation of the order set. Eighteen of the 62 PREVENA™ Systems (29%) that were removed were documented in the flowsheet. Nineteen of the 35 patients (54%) discharged with a PREVENA™ System had Home Health orders. Two of the 35 patients (6%) discharged with a PREVENA™ System were readmitted within 30 days and one of these patients (3%) had a reinfection within 30 days after discharge. Round table discussions revealed education on the order set was minimal, while most of the patients reported in the follow-up phone call survey positively about the education provided at discharge.Conclusion:This process evaluation identified deficits in the PREVENA™ System protocol, and patient and staff education. The lack of compliance with the protocol and education likely contributed to adverse patient outcomes with readmission within 30 days and post-operative infection.Keywords order set, PREVENA™ System, process evaluation, surgical site infections"],"dc:identifier.other":["http://dissertations.umi.com/ku:18869"],"dc:identifier.uri":["https://hdl.handle.net/1808/37121"],"dc:language.iso":["en"],"dc:publisher":["University of Kansas"],"dc:rights":["Copyright held by the author."],"dc:subject":["Nursing","order set","PREVENA™ System","process evaluation","surgical site infections"],"dc:title":["Process Evaluation of a PREVENA™ System Multimodal Quality Improvement Project"],"dc:type":["Dissertation"]},"updated_at":"2026-07-24T02:46:05Z"}