The improvement achieved in the quality of informed consent documents is related to the effectiveness of corrective measures implemented.
Surgical-site infection is a preventable adverse event. Implementation of good practices for correct surgical-site preparation can contribute to lessen this safety problem. The objective of this study was to describe the presence and quality of protocols on surgical-site preparation in the Murcia (Spain) regional network of public hospitals. The indicator "existence of protocol for surgical-site preparation" was assessed, as well as the formal quality (expected attributes) and contents (compared to current evidence-based recommendations) of existing documents. Seven of the nine hospitals have a protocol for surgical-site preparation. Opportunities to improve have been identified in relation to the protocols' formal quality and contents. Recommendations related to skin asepsis are incomplete and those related to hair removal contradict existing evidence. Most hospitals have protocols for surgical-site preparation; however, there is great room for improvement, in relation to their expected attributes and to the inclusion of evidencebased recommendations. Evaluación de la normalización de la preparación prequirúrgica en una red regional de hospitalesLa infección del sitio quirúrgico es un evento adverso prevenible mediante la implementación de buenas prácticas de preparación prequirúrgica. El objetivo del presente estudio fue describir la existencia y calidad de protocolización de la preparación prequirúrgica en la red regional de hospitales públicos de Murcia (España). Se evaluó el indicador "Existencia de protocolo/norma de preparación prequirúrgica", analizando la calidad formal (atributos) y de contenido (presencia de recomendaciones basadas en evidencia) de los documentos existentes. Siete (de nueve) hospitales acreditaron tener protocolos de preparación prequirúrgica. Existen oportunidades de mejora en la calidad formal y de contenido. Las recomendaciones sobre asepsia son incompletas en la mayoría de los documentos, y las de eliminación del vello contrarias a la evidencia.La preparación prequirúrgica está protocolizada en la mayoría de hospitales, pero la calidad de los protocolos es deficiente, así como la normalización de prácticas basadas en evidencia. study (4) highlighted that the third most frequent type is surgical site infection. This finding is consistent with other epidemiological studies in other countries, with detected the alarming problem of surgical site infections and their unwanted repercussions on the increase in morbidity and mortality levels and health care costs (5)(6)(7)(8) .The risk of surgical site infection (SSI) involves multiple factors. Intrinsic (host-related) factors include, for example, malnutrition and protein depletion, extreme ages, severity of baseline diseases like diabetes, cancer, chronic vascular disease, obesity and smoking (9)(10) .On the other hand, extrinsic factors (related to the surgery and hospital environment) can be the duration of surgical washing, extended hospitalization, shaving, surgery duration, skin antisepsis, prophylactic antibiotics and sterilizati...
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