{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:23:34Z","timestamp":1790663014455,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Surgical care is becoming more complex, and hospitals are under amplified pressure to improve quality and prevent harm. Ongoing sentinel events, such as wrong\u2010site surgery and retained surgical items, indicate that important safety errors persist and require system\u2010level solutions. Doctor of nursing practice (DNP)\u2013prepared perioperative nurses are well positioned to lead system\u2010level improvements by using evidence\u2010based practice, quality improvement, and implementation science to translate research into practice and develop sustainable improvements over time. This article describes how DNP\u2010prepared perioperative nurses lead and strengthen safety and quality initiatives in the perioperative practice setting. This article applies\n                    <jats:italic>The Essentials: Core Competencies for Professional Nursing Education<\/jats:italic>\n                    by the American Association of Colleges of Nursing, with a focus on Domain 5 (Quality and Safety), to connect DNP scholarly project work to measurable perioperative safety outcomes. Practical guidance is provided to support alignment of DNP\u2010led scholarly projects with the strategic priorities of the organization.\n                  <\/jats:p>","DOI":"10.1002\/aorn.70157","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:40:45Z","timestamp":1790617245000},"page":"264-275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Optimizing the Role of Doctor of Nursing Practice\u2013Prepared Perioperative Nurses in Quality and Safety"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2599-9880","authenticated-orcid":false,"given":"Rebecca","family":"Vortman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1435-1827","authenticated-orcid":false,"given":"Joanne D.","family":"Muyco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7827-9738","authenticated-orcid":false,"given":"Daphny","family":"Peneza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8446-8107","authenticated-orcid":false,"given":"Ray\u2010an B.","family":"Talatala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Sentinel Event Data 2024 Annual Review","year":"2025"},{"key":"e_1_2_7_3_1","volume-title":"The Essentials: Core Competencies for Professional Nursing Education","year":"2021"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.13718"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2022.04.004"},{"key":"e_1_2_7_6_1","volume-title":"Fact Sheet: The Doctor of Nursing Practice (DNP)","year":"2023"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/10784535231195425"},{"key":"e_1_2_7_8_1","volume-title":"Designing Nursing Curricula for Competency\u2010Based Education: Clarifying Expectations and Advancing Competency Through Progression Indicators","year":"2025"},{"key":"e_1_2_7_9_1","volume-title":"The Doctor of Nursing Practice Project: A Framework for Success","author":"Moran K","year":"2024"},{"key":"e_1_2_7_10_1","volume-title":"Doctor of Nursing Practice Essentials: A New Model for Advanced Nursing Practice","author":"Zaccagnini M","year":"2021"},{"key":"e_1_2_7_11_1","unstructured":"Domain 5: Quality and Safety.American Association of Colleges of Nursing;2021. Accessed January 25 2026.https:\/\/www.aacnnursing.org\/Portals\/0\/PDFs\/Essentials\/Domain\u20105\u2010Progression\u2010Indicators\u2010Level\u20102.pdf"},{"key":"e_1_2_7_12_1","volume-title":"Essentials Competency Assessment Framework","year":"2021"},{"key":"e_1_2_7_13_1","unstructured":"American Association of Colleges of Nursing.Healthy work environments. Accessed January 30 2026.https:\/\/www.aacnnursing.org\/Policy\u2010Advocacy\/Healthy\u2010Work\u2010Environments"},{"key":"e_1_2_7_14_1","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Institute of Medicine","year":"2001"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2025.102469"},{"key":"e_1_2_7_16_1","volume-title":"Perioperative Nursing: Scope and Standards of Practice","author":"Benze C","year":"2021"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010158\u20105\u2010201303051\u201000002"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2024.03.009"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191610087"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2023.07.003"},{"key":"e_1_2_7_21_1","first-page":"145","volume-title":"Quality and Safety in Nursing: A Competency Approach to Improving Outcomes","author":"Sherwood G","year":"2021"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2011.03.010"},{"key":"e_1_2_7_23_1","unstructured":"Implementation manual WHO surgical safety checklist 2009.World Health Organization. April 2 2009. Accessed January 30 2026.https:\/\/www.who.int\/publications\/i\/item\/9789241598590"},{"key":"e_1_2_7_24_1","volume-title":"Guidelines for Perioperative Practice","year":"2024"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20101\u20101"},{"key":"e_1_2_7_26_1","unstructured":"Agency for Healthcare Research and Quality.Health Literacy Universal Precautions Toolkit 3rd Edition: Tool 2B. Accessed June 3 2026.https:\/\/www.ahrq.gov\/health\u2010literacy\/improve\/precautions\/tool2b.html"},{"key":"e_1_2_7_27_1","unstructured":"Centers for Disease Control and Prevention.NHSN\u2019s Guide to the 2022 Baseline Standardized Infection Ratios: A Guide to the SIR Models Available in the 2022 HAI Rebaseline. Updated January2026. Accessed June 3 2026.https:\/\/www.cdc.gov\/nhsn\/2022rebaseline\/sir\u2010guide.pdf"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.14381"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.13603"},{"issue":"3","key":"e_1_2_7_30_1","first-page":"13","article-title":"Nurse retention in the operating room after perioperative core curriculum completion","volume":"37","author":"Vortman R","year":"2019","journal-title":"ORNAC J."},{"key":"e_1_2_7_31_1","unstructured":"Performance measurement.The Joint Commission. Accessed June 7 2026.https:\/\/www.jointcommission.org\/en\u2010us\/accreditation\/performance\u2010measurement"},{"key":"e_1_2_7_32_1","unstructured":"Centers for Medicare & Medicaid Services.Hospital\u2010Acquired Condition Reduction Program. Updated March 16 2026. Accessed June 7 2026.https:\/\/www.cms.gov\/medicare\/payment\/prospective\u2010payment\u2010systems\/acute\u2010inpatient\u2010pps\/hospital\u2010acquired\u2010condition\u2010reduction\u2010program\u2010hacrp"},{"key":"e_1_2_7_33_1","unstructured":"National Quality Forum.Driving measurable health improvements together. Accessed June 7 2026.https:\/\/www.qualityforum.org\/en\u2010us"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010021\u201001160\u2010w"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1891\/JDNP\u2010D\u201020\u201000034"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12618"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mnl.2025.04.007"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003059\u2010z"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0000000000001374"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mnl.2026.102704"},{"key":"e_1_2_7_41_1","volume-title":"Evidence\u2010Based Practice Improvement: Merging Evidence\u2010Based Practice and Quality Improvement","author":"Levin RF","year":"2020"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2026.105719"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12546"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.70157","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aorn.70157","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.70157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:52:02Z","timestamp":1790617922000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.70157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":42,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/aorn.70157"],"URL":"https:\/\/doi.org\/10.1002\/aorn.70157","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"2026-02-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}