Creation of a Hysterectomy Bundle to Reduce Surgical Site Infections: A Standardized Approach

Pangan, Abegail; Castellano-Flynn, Paula; Bowman, Donna

doi:10.1016/j.ajic.2020.06.043

Cited by 1 publication

(4 citation statements)

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“…Results of several QI projects reflect improved SSI rates after implementing SSI‐prevention bundles 26‐29 . At one academic medical center, the incidence of SSIs after hysterectomy decreased from 4.51% before implementation of a bundle to 1.87% after implementation ( P = .001) 26 .…”

Section: Literature Reviewmentioning

confidence: 99%

“…At a third academic medical center, interdisciplinary team members recognized that the SIR associated with hysterectomies was 3.5. They developed a standardized bundle of prevention measures and no SSIs were reported in the nine months after implementation of the bundle 29 …”

Section: Literature Reviewmentioning

confidence: 99%

“…Results of several QI projects reflect improved SSI rates after implementing SSI-prevention bundles. [26][27][28][29] At one academic medical center, the incidence of SSIs after hysterectomy decreased from 4.51% before implementation of a bundle to 1.87% after implementation (P = .001). 26 At another academic medical center, the SSI rate after hysterectomy dropped from 2.7% before bundle implementation to 0.4% after implementation (odds ratio = 7.41; 95% confidence interval, 1.67 to 32.75).…”

Section: Literature Reviewmentioning

confidence: 99%

“…They developed a standardized bundle of prevention measures and no SSIs were reported in the nine months after implementation of the bundle. 29…”

Section: Literature Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Implementing a Bundle to Improve Surgical Site Infection Rates for Patients Undergoing Nonvaginal‐Approach Hysterectomy at a Midwestern Teaching Hospital

Balagna,

Boyd,

Arnold

et al. 2023

AORN Journal

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Accrediting organizations, third‐party payers, and patients review the surgical site infection (SSI) rates of health care organizations. Infection preventionists collaborate with perioperative personnel to decrease SSI rates; they also monitor and report SSI information to national organizations. The standard infection ratio is a comparison of the observed number of SSIs to the predicted number of SSIs based on national benchmark data. Leaders of a midwestern teaching hospital convened an interdisciplinary team (eg, surgeons, perioperative leaders, infection preventionists) to address a standard infection ratio after hysterectomies that was greater than 1.0. The team reviewed national guidelines and published articles on decreasing SSIs (including recommendations for vaginal preparation) before developing and implementing a hysterectomy‐specific bundle for SSI prevention. The rate of SSIs decreased 68% after the implementation of the bundle. Perioperative personnel at this facility continue to use the bundle and infection preventionists monitor and report compliance with the bundle's elements.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%