Increasing rate of pre-operative stoma site marking in patients with intestinal ostomy (INSTOSI): a best practice implementation project.
Introduction: Pre-operative stoma site marking is a strongly recommended practice for preventing complications and improving the health-related quality of life of intestinal stoma patients. Despite its benefits, this practice is not routinely implemented in clinical practice. Objectives: This study...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 2; pp. 287 - 296 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193096427&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193096427 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Apr2026 vid: 24 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 193096427 193096427 193096427 10.1097/XEB.0000000000000503 193096427 ppf: 287 ppct: 9 formats: tig: atl: Increasing rate of pre-operative stoma site marking in patients with intestinal ostomy (INSTOSI): a best practice implementation project. aug: au: Shehu, Eni Pieper, Dawid Albrecht, Hendrik C. Gretschel, Stephan Krüger, Colin M. Leggio, Francesco Mantke, René Rückbeil, Oskar Paasch, Christoph Trawa, Mateusz Klugarová, Jitka Peričić, Tina Poklepović Bała, Małgorzata M. Prill, Robert Kugler, Charlotte M. affil: Institute for Health Services and Health Systems Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf bei Berlin, Germany sug: subj: Preoperative Period Enterostomy Surgical Site Verification Surgical Patients Implementation Science Human Funding Source Germany Schools, Medical Audit Feedback Surgery, Elective Emergency Patients Time Memory Communication Surgeons Nurses Checklists Ostomy Care ab: Introduction: Pre-operative stoma site marking is a strongly recommended practice for preventing complications and improving the health-related quality of life of intestinal stoma patients. Despite its benefits, this practice is not routinely implemented in clinical practice. Objectives: This study aimed to increase the rate of pre-operative stoma site marking. Methods: This evidence implementation project was conducted in three hospitals at the Brandenburg Medical School, Germany. The project followed the seven-stage JBI audit and feedback process recommended in the JBI Evidence Implementation Framework: (1) identification of practice area for change, (2) stakeholder involvement, (3) situational analysis of context, (4) baseline audit of stoma site marking rate, (5) strategy implementation (workshops with surgeons in each hospital to discuss baseline results), (6) 1-year follow-up audit, and (7) assessing the sustainability of practice changes. Results: The baseline audit revealed the following marking rates: 163 of 305 cases (53%) were marked across the three hospitals between 2017 and 2022. Elective cases were more often marked (145 of 200, 73%) than emergency cases (18 of 105, 17%). Barriers included poor physical state of emergency patients, lack of time, memory recall, and communication issues between surgeons and nurses. At follow-up 1 year after the workshops, 86 of 173 cases (50%) were marked (elective cases: 57 of 80, 71%; emergency cases: 29 of 93, 31%). Conclusions: Audit and feedback did not increase the overall rate of pre-operative stoma site marking, but did improve the rate in emergency cases. A single workshop may be insufficient to effect change. Electronic patient data lacked standardized documentation for pre-operative stoma site marking. http://links.lww.com/IJEBH/A329 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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