Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to
implement the Stanford Emergency Manual as a quality improvement (QI) process for crisis
management in the perioperative setting at Parkview Noble Hospital. Aims: The three aims and
focus of the QI project were to increase participants’ action of accessing the Stanford Emergency
Manual for crisis management when unsure of a critical step, increase participants’ confidence in
managing a simulated crisis, and examine whether debriefing was a valuable component of the
QI project. Results: Results displayed that there was a 51.67% increase in percentage points on
the post-knowledge test when the Emergency Manual was utilized. Also, the post-Simulation
Effectiveness Tool-Modified (SET-M) “scenario” scores showed that participants agreed that
personal confidence was increased after a malignant hyperthermia (MH) simulation experience
utilizing the Stanford Emergency Manual. The third result displayed that 77.77% of total
“debriefing” scores on the post SET-M tool stated strongly agree in that debriefing was
beneficial to the QI project process. Recommendations: The recommendation based on this DNP
QI project is to utilize the Stanford Emergency Manual in the perioperative setting. The Manual
was a patient safety adjunct and increased crisis management knowledge and confidence of the
perioperative staff at Parkview Noble Hospital.

Creator

• Amanda M. Huff

Keyword

• Stanford Emergency Manual

• crisis management

• patient safety

• perioperative

Date created

• June 23, 2021

Rights statement

• http://rightsstatements.org/vocab/InC/1.0/