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Enhancing recovery: Joining the Improving Surgical Care and Recovery programme to decrease colorectal surgical site

Bernadette Boalt-Watson¹, Cherif Boutros¹

¹21666Baltimore Washington Medical Center, Glen Burnie, MD, USA.

Journal of Perioperative Practice

|April 12, 2021

Abstract

Aim:

Surgical site infections after colorectal surgery are a clinical and financial challenge in healthcare. The purpose of this project was to decrease the rate of surgical site infections in colorectal surgical patients in a community hospital with an academic cancer centre in the United States of America.

Method:

The Quality Improvement Department obtained data to measure the hospital's performance with colorectal surgical patients. The data examined the surgical site infection rate and the length of stay. A multidisciplinary team was established to implement protocols to improve compliance.

Results:

More than 200 patients received a colorectal surgical resection at the hospital. The implemented protocols decreased both the surgical site infection rate and the length of stay (9.1-0% and median 6-4 days respectively).

Discussion:

Challenges with implementation of the Improving Surgical Care and Recovery programme, in a community setting, are discussed. The challenges were worked through collaboratively to achieve the best outcomes for the patients.

Conclusion:

The interdisciplinary committee used evidence-based practices to enhance the care of the colorectal patients. Some of the protocols that emerged were: patient education, pain medication, mechanical bowel preparation and antibiotics, as well as early alimentation. The protocols are discussed in Tables 1 to 4.

Keywords:

Evidence-based / Normothermia / Colorectal / Ambulation / Alimentation/ Surgeon

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