一个自我维持的抗生素预防计划,以减少手术部位感染
Jesse A Codner1, Elissa A Falconer1, Eli Mlaver1
1Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Surgical infections
|October 13, 2023
概括
通过反工具改善手术抗生素预防,显著减少了手术部位感染 (SSI). 这项质量改进倡议加强了抗生素施用方案,导致手术患者的感染率降低.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 手术感染预防 手术感染预防
- 抗生素管理局 抗生素管理局
背景情况:
- 一个多机构医疗保健系统的手术部位感染 (SSI) 率高于预期.
- 分析发现了标准化抗生素选择和改善合规反的机会.
研究的目的:
- 改进外科手术前的抗生素的使用过程.
- 通过加强抗生素预防,降低手术部位感染 (SSI) 率.
主要方法:
- 在两个设施中实施了一项多方面的质量改进计划,在手术前使用抗生素合规反工具.
- 追踪了对抗生素的遵守,并将数据与ACS-NSQIP合并为SSI结果.
- 比较协议合规性和风险调整的SSI比率在实施前和之后.
主要成果:
- 在实施后,抗生素协议的遵守率从86.3%增加到97.6%.
- 表面和深层的SSI从2.8%降至1.9% (p < 0.001).
- 经风险调整后,SSI的几率在干预后减少了31%.
结论:
- 标准化手术抗生素预防和提供近乎实时的反改善了合规性.
- 干预导致了表面和深层SSI的持续减少.
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