Publication Date

Spring 2026

Presentation Length

Poster/Gallery presentation

College

Gordon E. Inman College of Nursing

Department

Nursing, School of

Student Level

Undergraduate

Faculty Mentor

Linda Wofford

Presentation Type

Poster

Summary

Peri-Op Protect: A Unified Pre-Op to PACU Medication Reconciliation System

Peri-Op Protect is a nurse-led change initiative designed to improve medication safety and communication during surgical patient transitions from pre-operative care through the operating room and into the post-anesthesia care unit at a local hospital. Transitions of care are among the most vulnerable moments in the surgical process, as critical medication information – including home medications, last doses, allergies, intraoperative medications, and pain management plans – must be accurately communicated across multiple teams. Communication breakdowns are a leading contributor to adverse events in healthcare, and inconsistent medication handoff processes can result in missed medications, duplicate dosing, delays in treatment, or preventable patient harm. This project proposes a unified, structured paper medication reconciliation document that follows the patient throughout the perioperative process, ensuring consistent and clear medication communication between care teams. Implementation will occur over a 12-week period and include four phases: standardized document design with nurse input (weeks 1-3), staff education and nurse champion identifications through brief in- service training (weeks 4-6), unit-wide rollout of the system (weeks 7-10), and evaluation with adjustments based on feedback (weeks 11-12). A consolidation and sustainability phase will follow (weeks 13–24), allowing stabilization within unit workflows while outcome data collection continues. Project outcomes measures include nurse satisfaction surveys, medication- related incident reports, documentation completion rates, and time required for charting. Expected outcomes include 25% increase in nurse satisfaction with medication handoffs and 15% reduction in medication-related communication errors within six months. Project sustainability includes follow-up meetings with nurse champions and identifying improvements in the medication reconciliation document.

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