Surgical Site Infection Prevention: A Qualitative Analysis of an Individualized Audit and Feedback Model

Nessim, Carolyn; Bensimon, Cécile M.; Hales, Brigette; Laflamme, Claude; Fenech, Darlene; Smith, Andy

doi:10.1016/j.jamcollsurg.2012.08.007

Cited by 15 publications

(16 citation statements)

References 28 publications

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“… 28 In one qualitative study, a total of 18 health care professionals from a large tertiary center were interviewed using semistructured interviews. 30 …”

Section: Resultsmentioning

confidence: 99%

“…Interestingly, only two reviewed studies 26 , 30 reported on bundle compliance. Although the primary intent of these care bundles was to prevent SSI, few studies 26 , 30 elaborated on which individual components enhanced multidisciplinary collaboration and teamwork. Inconsistencies or a lack of standardization in any aspect of care-bundle delivery where all team members are not adequately trained in its implementation may render the bundle less effective.…”

Section: Discussionmentioning

confidence: 99%

“…Care bundles also reinforce the notion of a shared responsibility within the team, because specific elements are not considered the unique responsibility of designated individuals. 30 In our reviewed studies, it appeared that the implementation of care-bundle components was circumscribed based on the professional roles of multidisciplinary team members. There was little if any elaboration on the processes individuals used to enhance multidisciplinary collaboration.…”

Section: Discussionmentioning

confidence: 99%

“…The use of such approaches reinforces the notion that each clinician brings with them their particular expertise and is responsible for their respective contributions to patient care. 30 However, this view is often inconsistent with traditional views, which emphasize that intra- and interprofessional collaboration between clinicians, especially between surgeons and anesthetists, is integral to best practice and ultimately the prevention of SSI. Arguably, collaborations that rely exclusively on an intra- or interprofessional focus may be less inclusive and lead to fragmented patient care.…”

Section: Discussionmentioning

confidence: 99%

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Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Gillespie¹,

Kang²,

Roberts³

et al. 2015

JMDH

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PurposeTo identify and describe the strategies and processes used by multidisciplinary teams of health care professionals to reduce surgical site infections (SSIs).Materials and methodsAn integrative review of the research literature was undertaken. Searches were conducted in April 2015. Following review of the included studies, data were abstracted using summary tables and the methodological quality of each study assessed using the Standards for Quality Improvement Reporting Excellence guidelines by two reviewers. Discrepancies were dealt with through consensus. Inductive content analysis was used to identify and describe the strategies/processes used by multidisciplinary health care teams to prevent SSI.Results and discussionIn total, 13 studies met the inclusion criteria. Of these, 12 studies used quantitative methods, while a single study used qualitative interviews. The majority of the studies were conducted in North America. All quantitative studies evaluated multifaceted quality-improvement interventions aimed at preventing SSI in patients undergoing surgery. Across the 13 studies reviewed, the following multidisciplinary team-based approaches were enacted: using a bundled approach, sharing responsibility, and, adhering to best practice. The majority of studies described team collaborations that were circumscribed by role. None of the reviewed studies used strategies that included the input of allied health professionals or patient participation in SSI prevention.ConclusionPatient-centered interventions aimed at increasing patient participation in SSI prevention and evaluating the contributions of allied health professionals in team-based SSI prevention requires future research.

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“… 28 In one qualitative study, a total of 18 health care professionals from a large tertiary center were interviewed using semistructured interviews. 30 …”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Gillespie¹,

Kang²,

Roberts³

et al. 2015

JMDH

View full text Add to dashboard Cite

show abstract

“…Participants raised this under theme 1. Feedback focused on person and site has been shown to be desirable in the monitoring of surgical site infections [21], suggesting that more detailed, personalised information is better than an overall score incorporating results for a whole ward or surgical team. Participants explained that feedback from current electronic monitoring systems is limited by end users' comprehension, as it does not reveal specific information about when HH does or does not occur.…”

Section: Hh Monitoring Metricmentioning

confidence: 99%

Exploring new approaches to improve hand hygiene monitoring in healthcare

Mackrill

Dawson

Garvey

et al. 2017

Infection, Disease & Health

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Background : Hand - mediated transmission of micro - organisms is a major factor for the spread of healthca re associated infections. Ensuring that optimal hand hygiene (HH) practices are followed remains a challenge and monitoring remains a key activity in measuring healthcare professional’s adherence to HH protocols. This paper describes the role that methods from engineering, specifically morphological analysis (MA), can play in developing and improving the efficacy of HH monitoring in healthcare. MA is a process of considering the required functions or features of a system and then identifying all possible me thods to fulfil them. Considering the different methods to achieve each function or feature results in new ways of addressing a challenging problem and can pave the way for innovative system design. Method: Using an expert discussion panel of infection pre vention specialists, MA was applied as a means to discuss the current system of HH monitoring and explore future system improvements. Findings: The discussion revealed themes of; The adequacy of current HH monitoring systems; Goals of HH monitoring improv ement; Access to HH monitoring data for patients; The value of MA to identify new possibilities for HH monitoring. Discussion : The findings specifically demonstrate the application of an engineering method that has highlighted how condition monitoring may improve the HH monitoring process along. Conclusion : Condition monitoring measures (such as staff satisfaction) may be a useful addition to existing measures to monitor hand hygiene and give meaning for recipients of HH feedback data and also indicate a potential change in HH behaviour

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Optimizing infection control and antimicrobial stewardship bedside discussion: a scoping review of existing evidence on effective healthcare communication in hospitals

Bonaconsa,

Mbamalu,

Surendran

et al. 2024

Clinical Microbiology and Infection

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Surgical Site Infection Prevention: A Qualitative Analysis of an Individualized Audit and Feedback Model

Cited by 15 publications

References 28 publications

Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

Exploring new approaches to improve hand hygiene monitoring in healthcare

Optimizing infection control and antimicrobial stewardship bedside discussion: a scoping review of existing evidence on effective healthcare communication in hospitals

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