Unit-Based Safety Program Cuts Surgical Site Infections

Implementation of multidisciplinary safety program and its interventions can reduce infections

MONDAY, Aug. 6 (HealthDay News) -- Implementation of a comprehensive unit-based safety program (CUSP) can reduce surgical site infections (SSI) rates in a colorectal surgery setting, according to a study published in the August issue of the Journal of the American College of Surgeons.

Elizabeth C. Wick, M.D., from Johns Hopkins University in Baltimore, and colleagues examined the correlation between implementation of a surgery-based CUSP and postoperative SSI rates. SSI rates were collected for one year pre- and post-CUSP intervention using the high-risk pilot module of the American College of Surgeons National Surgical Quality Improvement Program. A multidisciplinary team of front-line providers involved in care of colorectal surgery patients met on a monthly basis.

The researchers found that the mean SSI rate was 27.3 percent in the 12 months before implementation of the CUSP and interventions. Following implementation of interventions the rate dropped significantly, by 33.3 percent, to 18.2 percent for the subsequent 12 months. Interventions included standardization of skin preparation; preoperative chlorhexidine showers; selective elimination of mechanical bowel preparation; patient warming in the preanesthesia area; utilization of improved sterile techniques for skin and fascial closure; and management of previously unrecognized lapses in antibiotic prophylaxis. During the same time period there was no difference in surgical process measure compliance as measured by the Surgical Care Improvement Project.

"Successful SSI reduction efforts require the following facets: accurate outcomes measurement, support of hospital leadership, and engaged front-line personnel in the context of a strong safety culture," the authors conclude. "The use of CUSP incorporates these key aspects and draws on both local wisdom and evidence-based medicine."

Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.
Categories: Surgery Nursing

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events