Impact of a Novel Preoperative Patient-centered Surgical Wellness Program
Kristen E Kelley1, Alyssa D Fajardo2, Nancy M Strange3
1Infection Prevention, Indiana University (IU) Health, Indianapolis, IN.
Annals of Surgery
|August 24, 2018
Summary
A preoperative wellness bundle significantly reduced hospital-acquired infections (HAI) in surgical patients. This patient-centered approach improved outcomes and reduced healthcare burdens.
Area of Science:
- Infection control
- Surgical patient care
- Public health
Background:
- Hospital-acquired infections (HAI) pose a significant threat to patient outcomes and place a substantial burden on healthcare systems.
- Preoperative interventions are being explored as a strategy to mitigate the risk of surgical site infections and other HAIs.
Purpose of the Study:
- To assess the efficacy of a comprehensive preoperative wellness bundle in reducing the incidence of hospital-acquired infections (HAI) among surgical patients.
- To evaluate the impact of a patient-centered wellness program on infection rates in an urban academic medical center.
Main Methods:
- A cohort of 12,396 surgical patients received a preoperative wellness bundle including chlorhexidine baths, immuno-nutrition, incentive spirometry, mupirocin, and smoking cessation advice.
- Data on HAI outcomes were collected through patient interviews, observations, and surveys, and compared to a nonintervention group using statistical analyses.
Main Results:
- The intervention group demonstrated statistically significant reductions in surgical site infections, Clostridium difficile infections, and catheter-associated urinary tract infections.
- High compliance rates were observed for individual components of the wellness bundle, including mupirocin (80%) and immuno-nutrition (72%).
Conclusions:
- A preoperative, patient-centered wellness program was effective in dramatically reducing hospital-acquired infections in surgical patients.
- This innovative approach highlights the potential of proactive, patient-focused interventions in enhancing surgical safety and improving healthcare system efficiency.
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