Creating a Surgical Site Infection Prevention Bundle for Patients Undergoing Cesarean Delivery: 1.6 www.aornjournal.org/content/cme.

Abstract:

:We formed an interdisciplinary team to create a standardized, evidence-based protocol that would reduce cesarean delivery surgical site infection rates at our tertiary teaching facility. The Joint Commission's current implementation guide for surgical site infections, although comprehensive, does not specifically address strategies associated with the obstetric patient population. The team's approach included developing and providing patient education and preparation, standardizing prophylactic antibiotic administration, developing consistent evidence-based abdominal and vaginal preparation processes, standardizing postoperative incision care, and engaging clinical team members in process improvement. This collaboration resulted in a decrease in surgical site infection rates from 4.1% in 2014 and 5.9% in 2015 to 0.8% by the end of 2016 and 0.6% in the first two quarters of 2017. Systemizing processes initiated by the interdisciplinary team improved patient outcomes, limited readmissions, and reduced costs to the institution.

journal_name

AORN J

journal_title

AORN journal

authors

Money L,Eyer M,Duncan K

doi

10.1002/aorn.12371

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

372-383

issue

4

eissn

0001-2092

issn

1878-0369

journal_volume

108

pub_type

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