Related Experiment Videos
A replicable colectomy surgical site infection prevention bundle: Implementation and electronic health
Rodovaldo Rodriguez1, Andrea Lynn Cromer2, Courtney Jones2
1Medical College of Georgia, Northwest Georgia Campus, Dalton, GA; Philadelphia College of Osteopathic Medicine, Suwanee, GA; Hamilton Medical Center, Dalton, GA.
Background:
Surgical site infections (SSIs) after colectomy are a major source of morbidity, mortality, and cost. Despite evidence supporting prevention bundles, reliable implementation remains challenging. We describe the implementation of a colectomy SSI bundle guided by the Translating Research into Practice (TRIP) model, featuring novel electronic health record (EHR)-enabled compliance monitoring.
Methods:
A pre/post quasi-experimental study compared baseline (n = 227) and post-implementation (n = 164) colectomies at a community teaching hospital. An Epic (Epic Systems Corporation, Verona, WI) EHR dashboard monitore compliance. The primary outcome was the National Healthcare Safety Network (NHSN) Standardized Infection Ratio (SIR).
Results:
SSI rates decreased from 10.6% to 4.9% (relative risk 0.46, 95% CI: 0.21-0.99, P = .051). The SIR decreased from 2.04 to 0.895 (relative risk 0.44, 95% CI: 0.19-0.95, P = .037), indicating fewer SSIs than expected. Compliance was high across most elements.
Discussion:
The TRIP model provided a replicable implementation framework. The EHR dashboard enabled actionable compliance monitoring without requiring capital investment.
Conclusions:
A colectomy SSI prevention bundle, guided by the TRIP model and supported by an EHR dashboard, achieved a statistically significant reduction in SIR and a clinically meaningful decrease in SSI rates.
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:26Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
01:30Methods of Documentation VII: EMR