Implementation of a Colorectal Surgical Site Infection Prevention Bundle and Checklist: A Quality Improvement Project
After noting an elevated surgical site infection rate in 2019 associated with colorectal surgeries, leaders at two Central Virginia health system hospitals convened an interdisciplinary team to audit current practices and research infection prevention strategies. After identifying a lack of standard...
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| Veröffentlicht in: | AORN journal 2023-11, Vol.118 (5), p.297-305 |
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| container_title | AORN journal |
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| creator | White, Carrie Kurtz, Sarah Lusk, Leandra Wilson, Brigitte Britton, Vickie Hayden, Karen Hunt, Sarah Hyland, Jennifer Kittrell, William Maddox, Jason Tanner, Ashley Tucker, Valerie |
| description | After noting an elevated surgical site infection rate in 2019 associated with colorectal surgeries, leaders at two Central Virginia health system hospitals convened an interdisciplinary team to audit current practices and research infection prevention strategies. After identifying a lack of standardization in care processes for colorectal surgery patients and reviewing the literature on colorectal bundles, the team created a bundle focusing on the use of antibiotics, chlorhexidine gluconate wipes or baths, separate closing instrument trays, nasal decolonization, bowel preparation, and maintaining patient normothermia. After synthesis and stakeholder input, the team implemented the colorectal bundle along with a checklist for all users to complete to ensure compliance and standardization of practice and for auditing purposes. Implementation results were positive: the total number of colorectal infections decreased from nine in 2020 to three in 2021. Education was critical to securing staff member engagement for successful implementation of and compliance with the bundle. |
| doi_str_mv | 10.1002/aorn.14020 |
| format | Article |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Antibiotics Bone surgery Colorectal surgery Compliance Hospital costs Interdisciplinary aspects Leadership Literature reviews Patients Prevention Quality improvement Smoking cessation Surgical site infections Wound healing |
| title | Implementation of a Colorectal Surgical Site Infection Prevention Bundle and Checklist: A Quality Improvement Project |
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