Hospitals collaborate to decrease surgical site infections

Dellinger, E. Patchen; Hausmann, Susan; Bratzler, Dale W.; Johnson, Rosa; Daniel, D.; Bunt, Kathryn M.; Baumgardner, Greg A.; Sugarman, Jonathan R.

doi:10.1016/j.amjsurg.2004.12.001

Cited by 275 publications

(155 citation statements)

References 37 publications

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“…Previous studies of the impact of collaboratives on organizational performance have mixed results, with some demonstrating substantial impact on improvement (Horbar et al 2001;Dellinger et al 2005;Howard et al 2007) and others finding no significant effect (Landon et al 2004;Homer et al 2005). The vast majority of these studies have examined collaboratives as a single intervention as opposed to the diverse set of features that comprise most collaborative models.…”

mentioning

confidence: 99%

Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?

Nembhard

2009

Health Services Research

124

137

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Objective. To understand participants' views on the relative helpfulness of various features of collaboratives, why each feature was helpful and which features the most successful participants viewed as most central to their success. Data Sources. Primary data collected from 53 teams in four [2004][2005] Institute for Healthcare Improvement (IHI) Breakthrough Series collaboratives; secondary data from IHI and demographic sources. Study Design. Cross-sectional analyses were conducted to assess participants' views of 12 features, and the relationship between their views and performance improvement. Data Collection Methods. Participants' views on features were obtained via selfadministered surveys and semi-structured telephone interviews. Performance improvement data were obtained from IHI and demographic data from secondary sources. Principal Findings. Participants viewed six features as most helpful for advancing their improvement efforts overall and knowledge acquisition in particular: collaborative faculty, solicitation of their staff's ideas, change package, Plan-Do-Study-Act cycles, Learning Session interactions, and collaborative extranet. These features also provided participants with motivation, social support, and project management skills. Features enabling interorganizational learning were rated higher by teams whose organizations improved significantly than by other teams. Conclusions. Findings identify features of collaborative design and implementation that participants view as most helpful and highlight the importance of interorganizational features, at least for those organizations that most improve.Key Words. Quality improvement collaboratives, organizational learning Quality improvement collaboratives are an increasingly common strategy for implementing evidence-based practices in health care. Most collaboratives are modeled after the Breakthrough Series (BTS) model, developed by the r Health Research and Educational Trust

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confidence: 99%

Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?

Nembhard

2009

Health Services Research

124

137

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“…Despite advances in ventilation of operation rooms, covering systems, sterilization protocols, hi-tech operating tools and antibiotics prophylaxis, the rate of morbidity and mortality due to post SSI in cardiac surgeries is high; however, hospitals with appropriate, standard and qualified surgical cares and strategies are able to decrease the risk of postoperative site infections up to 30% [14,[19][20][21].…”

Section: Review Articlementioning

confidence: 99%

Microbial Surgical Site Infections in Association with Post Cardiac Surgery

Behzadi¹

2015

MOJS

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Cardiac surgeries are considered as a big problem around the world; because of the consequences of surgical site infections. There are several risk factors which may lead to surgical infections. However, the factors are categorized into three groups of preoperative, perioperative and postoperative risk factors that may lead to microbial surgical site infections in patients with post cardiac surgery. The medical (morbidity and mortality) and financial consequences in association with surgical site infections are very significant and considerable. But, the use of standard sterilization protocols and accurate surgical methodologies may help to reduce the microbial infections in patients with cardiac surgery. For this reason, the focused aim of the present literature is to have a deep review in epidemiology, microbiology, pathogenesis and virulence and the risk factors pertaining to microbial surgical site infections in patients with post cardiac surgery.

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“…48,49 Voluntary reporting of performance as part of a collaborative effort between participating hospitals has been shown to have a positive impact on SSIs by improving relevant processes of care. Dellinger et al 50 report the results from the National Surgical Infection Prevention Collaborative. Fortyfour participating hospitals reported data on over 35,000 surgical procedures over a one-year period.…”

Section: Initiatives For Patient Safety and Quality Improvementmentioning

confidence: 99%

“…Similarly, tests of trend found continual improvements in all of the processes of care reported. 50 A number of studies have shown the role of standardized practices for the prevention of SSIs. A pre-and postintervention study by the authors of this review was conducted over a three-year period.…”

Section: Initiatives For Patient Safety and Quality Improvementmentioning

confidence: 99%

Review article: The anesthesiologist’s role in the prevention of surgical site infections

Forbes

McLean

2012

Can J Anesth/J Can Anesth

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Purpose To highlight the role of anesthesiologists in the prophylaxis of surgical site infections (SSIs) and to recognize the central role they play in quality improvement initiatives for the prevention of SSIs. Source The medical literature was searched with a focus on three interventions affecting the risk of SSIs: preoperative antibiotic administration, perioperative normothermia, and perioperative hyperoxia. The literature was also searched for examples of initiatives in patient safety and quality improvement that highlight the role of anesthesiologists in preventing SSIs. Principal findings The timely administration of preoperative antibiotics and the maintenance of perioperative normothermia have been shown to reduce the risk of SSI significantly. Perioperative hyperoxia in the prevention of SSIs remains controversial but may improve outcomes in specific subsets of the surgical population. Initiatives in quality improvement show the challenges faced by many centres to improve upon these processes of care, but they also highlight the role of anesthesiologists as champions in the multidisciplinary efforts for the prevention of SSIs. Conclusions Anesthesiologists are responsible for many of the processes of care shown to impact the risk for SSIs, and they play an important role in the prevention of SSIs.

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Hospitals collaborate to decrease surgical site infections

Cited by 275 publications

References 37 publications

Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?

Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?

Microbial Surgical Site Infections in Association with Post Cardiac Surgery

Review article: The anesthesiologist’s role in the prevention of surgical site infections

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