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A new surgical site infection improvement programme for New Zealand: early progress

Arthur J Morris, Allan L Panting, Sally A Roberts

  • 1Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland. a.merry@auckland.ac.nz.

The New Zealand Medical Journal
|June 29, 2015
PubMed

Insights

New Zealand

Area of Science:

  • Healthcare Quality and Safety
  • Infectious Disease Prevention
  • Surgical Site Infections (SSIs)

Background:

  • Surgical site infections (SSIs) affect 2-5% of patients undergoing inpatient surgery.
  • The Health Quality & Safety Commission launched New Zealand's first national Surgical Site Infection Improvement Programme (SSII Programme).
  • The SSII Programme is a joint initiative by Auckland and Canterbury District Health Boards.

Purpose of the Study:

  • To reduce the incidence of SSIs in New Zealand hospitals.
  • To initially focus on hip and knee arthroplasties.
  • To describe the programme's purpose, background, structure, and rationale.

Main Methods:

  • Implementing a combined package of surveillance and improvement interventions.
  • Focusing on key SSI prevention bundles.
  • Monitoring national compliance with interventions.

Main Results:

  • Significant nationwide improvement in the timing of surgical antimicrobial prophylaxis (p<0.0001).
  • Significant nationwide improvement in the administration of correct antimicrobial dosage (p<0.0001).
  • Sustained high national compliance (>95%) with alcohol-based skin preparation.

Conclusions:

  • The SSII Programme has demonstrated early success in improving SSI prevention practices.
  • The programme has led to significant improvements in antimicrobial prophylaxis.
  • High compliance with skin preparation indicates effective implementation.

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