Percent of Patients with Appropriate Hair Removal

Reducing Surgical Site Infection
Formula: The number of surgical patients with hair removed appropriately divided by the number of patients requiring hair removal.
Exclusion: Patients for whom hair removal is not necessary.
Achieve 100 percent compliance with appropriate hair removal within 13 months.
Data Collection Plan
Create a system to capture data prospectively on 100 percent of patients. Define appropriate hair removal for each type of surgery in pilot population (e.g., depilatory may be appropriate, clipping may be appropriate, usually shaving is not appropriate).
Sample Graph



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