Factors Disrupting the Preference Card Management Process: A Root Cause Analysis.


Journal Article

Preference cards, the nexus of an efficient OR, help ensure that OR personnel have what they need to safely and efficiently care for surgical patients. In June 2013, a new electronic health record (EHR) was implemented in the ORs of the Duke University Health System, Durham, North Carolina. Although it was an integrated system, the EHR disrupted supply management in the OR, which affected the availability of correct resources. The project team performed a process-improvement project using root cause analysis (RCA) to identify the factors that led to the disruption in the preference card management process for orthopedic surgical procedures. Team members identified that a chief cause of resource disruption was the mistiming of interface messages that created the pick lists and requisition forms. Based on the results of the RCA, the project team developed and implemented recommendations for process improvement.

Full Text

Duke Authors

Cited Authors

  • Dizon, JM; Richesson, RL; Lytle, KS; Hawks, SJ

Published Date

  • January 2016

Published In

Volume / Issue

  • 103 / 1

Start / End Page

  • 105.e1 - 105.12

PubMed ID

  • 26746038

Pubmed Central ID

  • 26746038

Electronic International Standard Serial Number (EISSN)

  • 1878-0369

International Standard Serial Number (ISSN)

  • 0001-2092

Digital Object Identifier (DOI)

  • 10.1016/j.aorn.2015.11.018


  • eng