title: Perioperative nursing model redesign.
abstract: The Surgical Services Division at a university hospital has created a patient delivery system that integrates the TQM values: continuous improvement, shared governance and staff empowerment. A divisional shared governance model includes specific roles for several councils: departmental shared governance, clinical practice, professional practice and systems. This model has promoted a proactive, monthly approach to quality assessment and improvement, compared to the traditional quarterly review.
authors.forename: P
authors.initials: P
authors.lastname: Horstman
authors.forename: L
authors.initials: L
authors.lastname: Helmick
authors.forename: J A
authors.initials: JA
authors.lastname: Sions
mesh_terms: D003659:Decision Making, Organizational; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D009871:Operating Room Nursing; D010823:Physician Assistants / Q000458:organization & administration; D013503:Surgery Department, Hospital / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration; D014903:West Virginia