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Surgical Site Infections

Effective surgical infection prevention requires redesigning systems to reduce risk factors and to optimize evidence-based processes of care. The fundamental rule of improvement is this: every system is perfectly designed to achieve exactly the results it gets.

 

In order to attain a new level of performance in patient safety, there must be a new system. This applies to all forms of performance — such as selection, timing, and duration of antimicrobial prophylaxis; thermoregulation; oxygen tension; glucose control; hair removal technique and other basic prevention strategies.

 

Many health care organizations have succeeded in creating new and safer systems. Major opportunities still exist to reduce the incidence of surgical infections, create safer care for patients requiring surgery, reduce costs, and improve efficiency.

 

Click here for more information and general tips on Forming the TeamEstablishing Measures, Setting Aims, or Testing Changes.

 

SSI Model


Avoid Shaving Operative Site
In addition to the proper use of prophylactic antibiotics and good surgical technique, other factors under the control of the operative team have been demonstrated to affect significantly the risk of SSI. These other factors include avoiding shaving the operative site. This preventive measure provides opportunities for improvement in most hospitals.

Use Basic Prevention Strategies from Category IA Center for Disease Contol Recommendations
In addition to the proper use of prophylactic antibiotics and good surgical technique, other factors under the control of the operative team have been demonstrated to affect significantly the risk of SSI. These other factors include basic prevention strategies.

Maintain Postoperative Glucose Control for Major Cardiac Surgery Patients
Review of medical literature shows that the degree of hyperglycemia in the postoperative period was correlated with the rate of surgical site infection in patients undergoing major cardiac surgery.

Maintain Postoperative Normothermia for Colorectal Surgery Patients
The medical literature indicates that patients undergoing colorectal surgery have a decreased risk of surgical site infection if they are not allowed to become hypothermic during the perioperative period.

Use Prophylactic Antibiotics Appropriately
An estimated 40–60 percent of Surgical Site Infections (SSIs) are preventable with appropriate use of prophylactic antibiotics.

   


Take Action

Prevent Surgical Site Infection

 

One of the key interventions in IHI's
5 Million Lives Campaign

 

Download the How-to Guide and get started today reducing surgical site infections in your organization.

 

5 Million Lives Campaign