Implementing a Bundle to Improve Surgical Site Infection Rates for Patients Undergoing Nonvaginal‐Approach Hysterectomy at a Midwestern Teaching Hospital

Author:

Balagna Sean J.,Boyd Craig,Arnold Donald E.,Wagner Corey A.,Veronikis Dionysios K.,Short Mary,Butler Jessica,Marquart Shannon

Abstract

ABSTRACTAccrediting organizations, third‐party payers, and patients review the surgical site infection (SSI) rates of health care organizations. Infection preventionists collaborate with perioperative personnel to decrease SSI rates; they also monitor and report SSI information to national organizations. The standard infection ratio is a comparison of the observed number of SSIs to the predicted number of SSIs based on national benchmark data. Leaders of a midwestern teaching hospital convened an interdisciplinary team (eg, surgeons, perioperative leaders, infection preventionists) to address a standard infection ratio after hysterectomies that was greater than 1.0. The team reviewed national guidelines and published articles on decreasing SSIs (including recommendations for vaginal preparation) before developing and implementing a hysterectomy‐specific bundle for SSI prevention. The rate of SSIs decreased 68% after the implementation of the bundle. Perioperative personnel at this facility continue to use the bundle and infection preventionists monitor and report compliance with the bundle's elements.

Publisher

Wiley

Subject

Medical–Surgical Nursing

Reference31 articles.

1. Patient Safety Primer.Surgical site infections. Agency for Healthcare Research and Quality. September 7 2019. Accessed May 31 2023.https://psnet.ahrq.gov/primer/surgical‐site‐infections

2. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update

3. Surgical Site Infection Prevention

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