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Enhancing Voiding Trial Adherence Using QR Code-Based Video Education
Ramzy Burns1, Leah Frischmann2, Emma Wittman2
1Department of Urology, Division of Urogynecology, Indiana School of Medicine.
Urogynecology (Philadelphia, Pa.)
|March 26, 2026
Summary
Instructional videos linked via QR codes significantly improved nursing adherence to postoperative voiding trial protocols. This quality improvement intervention enhances patient care after pelvic surgery.
Area of Science:
- Urology
- Surgical Nursing
- Quality Improvement
Background:
- Postoperative urinary retention is a risk after pelvic surgery.
- Inconsistent adherence to voiding trial protocols by nurses can lead to adverse outcomes.
Purpose of the Study:
- To evaluate the impact of QR code-linked instructional videos on nursing adherence to voiding trial protocols.
Main Methods:
- A pre-post quality improvement study was conducted in two hospitals.
- QR codes linked to video tutorials were disseminated to nursing staff.
- Adherence was measured by electronic medical record documentation.
Main Results:
- Overall adherence to voiding trial protocols increased from 44.3% to 76.4%.
- Significant improvements were noted for passive and active voiding trials.
- Enhanced adherence was observed in both postanesthesia care and inpatient settings.
Conclusions:
- QR code-linked videos effectively improved nursing adherence to voiding trial protocols.
- This low-cost intervention can enhance postoperative care quality.
- It provides a practical model for improving protocol adherence in pelvic surgery nursing.
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