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Many organizations have developed tools in the course of their improvement efforts — successful protocols, order sets and forms, instructions and guidelines for implementing key changes — and are making them available on IHI.org for others to use or adapt in their own organizations.
We have posted tools from the collaborative project conducted by the Center for Medicare & Medicaid Services on surgical infection prevention and will be adding more in the near future. We invite you to submit tools you have found useful!
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Culture of Safety
Documentation Tools
General Tools
Guidelines
Measurement and Feedback
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Culture of Safety
This tool is a visual aid to remind and educate caregivers, staff, patients, and families about the elements of the surgical site infection intervention; developed by Health Services Advisory Group, Inc. (HSAG), the Medicare Quality Improvement Organization for Arizona, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the US Department of Health and Human Services (Phoenix, Arizona, USA)
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Chart stickers provide reminders for timely and appropriate prophylactic antibiotic administration.
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An instructional brochure for patients to prepare for surgery that introduces pain management, perioperative treatment, and proper wound care; developed by MissouriPRO (Jefferson City, Missouri, USA)
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OSF Saint Francis Medical Center (Peoria, Illinois, USA) invites patients to play a vital role in making their surgical care safe with this surgical brochure.
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Documentation Tools
Use of standardized order sets are one way of providing more reliable antibiotic prophylaxis to reduce surgical site infections. Charleston Area Medical Center (Charleston, West Virginia, USA) has developed post-operative order sets for orthopedic surgery.
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Use of standardized order sets are one way of providing more reliable antibiotic prophylaxis to reduce surgical site infections. Charleston Area Medical Center (Charleston, West Virginia, USA) has developed post-operative order sets for cardiac surgery.
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General Tools
This tip sheet provides surgical patients with key questions they should ask their surgical care team prior to surgery; developed by Surgical Care Improvement Project, in coordination with the Oklahoma Foundation for Medical Quality (Oklahoma City, Oklahoma, USA).
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Framework from CMS Collaborative, including charter, mission, change package, measures, and literature.
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Guidelines
A brief slide presentation (in PDF format) summarizes the content of the June 15, 2004, Clinical Infectious Disease article, "Antimicrobial Prophylaxis for Surgery: An Advisory Statement from the National Surgical Infection Prevention Project".
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A clinical guideline reminder sheet with documentation tips for surgical infection prevention, community-acquired pneumonia, acute myocardial infarction, and congestive heart failure.
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Measurement and Feedback
This presentation and related articles discuss how measuring the time or number of cases between adverse events, such as the number of surgeries between surgical site infections, is more effective for detecting changes and verifying improvements.
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