Implementation of a Colorectal Surgical Site Infection Prevention Bundle and Checklist: A Quality Improvement Project

Area of Science:

• Infectious Diseases
• Surgical Site Infections
• Public Health

Background:

• Elevated surgical site infection (SSI) rates in colorectal surgeries were observed in 2019.
• A lack of standardized care processes for colorectal surgery patients was identified.
• Existing literature on colorectal infection prevention bundles was reviewed.

Purpose of the Study:

• To develop and implement a standardized evidence-based bundle to reduce SSI rates in colorectal surgery.
• To improve patient outcomes through enhanced infection control measures.

Main Methods:

• An interdisciplinary team was formed to audit practices and research infection prevention strategies.
• A comprehensive colorectal surgery bundle was created, incorporating antibiotics, chlorhexidine gluconate, separate instrument trays, nasal decolonization, bowel preparation, and normothermia.
• A compliance checklist was implemented alongside the bundle.
• Staff education was provided to ensure engagement and adherence.

Main Results:

• The total number of colorectal SSIs decreased from nine in 2020 to three in 2021 following bundle implementation.
• Successful implementation and compliance were linked to effective staff education.

Conclusions:

• The standardized colorectal surgery bundle, coupled with comprehensive education, effectively reduced surgical site infections.
• Multidisciplinary collaboration and evidence-based practices are crucial for improving patient safety in surgical settings.