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Related Experiment Videos

Hospitals collaborate to decrease surgical site infections.

E Patchen Dellinger1, Susan M Hausmann, Dale W Bratzler

  • 1Department of Surgery, Division of General Surgery, University of Washington, Seattle, WA 98195-6410, USA. patch@u.washington.edu

American Journal of Surgery
|June 24, 2005
PubMed
Summary
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Implementing evidence-based practices significantly reduced surgical site infections (SSIs). The National Surgical Infection Prevention Collaborative demonstrated improved care processes and a 27% decrease in SSIs across participating hospitals.

Area of Science:

  • Healthcare Quality Improvement
  • Infection Control
  • Surgical Safety

Background:

  • Surgical site infections (SSIs) remain a significant concern in healthcare.
  • Evidence-based practices to reduce SSIs are often underutilized.
  • Systematic approaches are needed to improve SSI prevention.

Purpose of the Study:

  • To evaluate the effectiveness of a collaborative quality improvement project in reducing SSIs.
  • To assess the implementation of known SSI prevention strategies in a real-world setting.
  • To determine the impact of standardized care processes on SSI rates.

Main Methods:

  • Fifty-six hospitals participated in the National Surgical Infection Prevention Collaborative, a 1-year demonstration project.
  • Hospitals redesigned systems and selected quality improvement objectives for specific surgical procedures.

Related Experiment Videos

  • Monthly clinical process measure data were collected and reported.

    • Main Results:

    • Forty-four hospitals reported data for 35,543 surgical cases.
    • Improvements were observed in antimicrobial stewardship, normothermia, oxygenation, euglycemia, and hair removal practices.
    • The overall SSI rate decreased by 27%, from 2.3% to 1.7%.

    Conclusions:

    • The Collaborative successfully improved processes linked to reduced SSI risk.
    • Quality improvement organizations can effectively drive advancements in surgical care.
    • Systematic implementation of evidence-based practices leads to measurable reductions in surgical infections.