Multi-Institution Analysis of Infection Control Practices Identifies the Subset Associated with Best Surgical Site Infection Performance: A Texas Alliance for Surgical Quality Collaborative Project

Berian

Journal of Surgical Oncology

et al. 2018

Section: Discussionmentioning

confidence: 99%

Trends in perioperative outcomes of hospitals performing major cancer surgery

Berian

Journal of Surgical Oncology

et al. 2018

“…The impact of the dress code on the prevention of postoperative infection is still under debate. Studies have shown that the type of scrub cap does not affect the incidence rate of postoperative infection, and hence it is not mandatory for the OR [20][21][22][23][24]. However, many studies still support the development of a dress code for the OR and believe that it is beneficial for the prevention of postoperative infections [25].…”

Section: Groupmentioning

confidence: 99%

Efficacy of infection control pathway in reducing postoperative infections in patients undergoing neurosurgery

Dong

Yuan

Ren

et al. 2020

J Infect Dev Ctries

Introduction: The environment of the operating room (OR) is closely related to the postoperative complications of patients, and it is necessary to study, to what extent, the stringent management of the OR can reduce postoperative complications. Methodology: 426 patients who underwent surgery between January 2016 and December 2017 were selected from two class-100 laminar flow ORs of equivalent area, and were divided into an experimental group and a control group. Results: The experimental group had significantly lower total air-borne bacterial count in the OR than the control group 10 minutes before surgery (6.21 ± 4.14 vs. 11.58 ± 5.36 CFU/cm3), 10 minutes (15.67 ± 6.21 vs. 20.83 ± 5.78 CFU/cm3), 30 minutes (27.34 ± 8.18 vs. 39.56 ± 7.86 CFU/cm3) and 60 minutes (43.62 ± 7.66 vs. 51.63 ± 8.43 CFU/cm3) into surgery, and at the end of surgery (57.34 ± 7.67 vs. 69.33 ± 9.41 CFU/cm3) (all p < 0.05). The incidence rates of increased body temperature and leukocyte count 3 days post-surgery, and the duration of antibiotic therapy and hospital stay were significantly reduced in the experimental group compared to the control group (all p < 0.05). Furthermore, the total number of pathogens in the incision at 2 hours into surgery was also significantly lower in the experimental group than in the control group (p < 0.05). Conclusion: Stringent application of the infection control pathway is an efficacious measure for improving the air cleanliness of the neurosurgery OR, decreasing the incidence rates of postoperative complications and infection, as well as controlling pathogen transmission.

“…Researchers studied descriptive surveys and retrospective correlation analyses of Texas Alliance for Surgical Quality data from the 2016 ACS National Surgical Quality Improvement Program database to identify which infection control practices, including SAG adherence, were associated with lower SSI rates 10 . Representatives at 20 participating facilities reported SSI odds ratios for general surgeries and completed surveys ranking staff members’ adherence to the SAG using a Likert scale ranging from 0 to 4, corresponding to quartile ranges of adherence (ie, 1 = 0% to 25%, 2 = 26% to 50%, 3 = 51% to 75%, 4 = 76% to 100%).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Nurse scientists should expand the study population beyond not‐for‐profit New England hospitals to validate the findings of this germinal study. Although three groups of researchers explored surgical attire adherence rates and published their results in 2017, 8-10 some of the data collection methods had unclear adherence definitions 8,9 . Future investigators should perform rigorous quantitative studies identifying SAG adherence rates that could serve as the baseline for determining whether interventions aimed at increasing SAG adherence decisions enhance adherence rates.…”

Section: Recommendationsmentioning

confidence: 99%

A Grounded Theory of Intraoperative Team Members’ Decision Making Regarding Surgical Attire Guideline Adherence

Mayes¹

2020

AORN Journal

Surgical attire guidelines (SAGs) assist perioperative nurses with minimizing the risk of patients developing surgical site infections. However, some intraoperative team members fail to fully adhere to SAGs, which may put patients at risk. Because there is a lack of published literature on the reasons for intraoperative team members’ SAG nonadherence, I undertook a grounded theory study to explore the decision making of intraoperative team members related to the AORN SAG. The resulting model identifies the factors that affect decision making regarding SAG adherence, including personal identity needs, adherence anchoring activities, SAG awareness, direction from authority figures and organizations, guideline evidence strength, and resource availability. After weighing the influence of each factor, team members decide to what extent they will adhere to the SAG. The theory also provides guidance for enhancing adherence decisions.