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Integrated Care Pathway for Total Joint Arthroplasty

This Care Pathway provides recommended ideas to improve care for patients receiving total joint arthroplasty (TJA) and includes safe, effective, efficient, and patient-centered TJA care processes. The Pathway is designed for use by all members of the orthopaedic community who are responsible for the TJA process, including those at surgical practices, hospitals, and other care settings.

CHG Bathing Patient Flyer: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

This customizable, educational poster/flyer can be used to inform patients that you encourage them to bathe or shower with chlorhexidine gluconate (CHG) soap to reduce the risk of surgical site infections from hip and knee arthroplasty.

Flyer of Participation: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

This customizable poster/flyer can be used to communicate to your patients that you are focused on reducing surgical site infections for hip and knee arthroplasty.

The Business Case, A Brief for Hospital Administrators: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

Among surgical procedures, arthroplastic (hip and knee) surgeries are key high-cost, high-volume surgeries targeted for surgical site infection (SSI) prevention. This document describes some of the financial implications of SSIs after hip and knee replacement and makes the business case for prevention.

How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

This How-to Guide describes key evidence-based interventions for preventing surgical site infection for patients undergoing hip and knee replacement surgery, describes how to implement these interventions, and recommends measures to gauge improvement.

One-Pager for Surgeons: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

This one-pager for surgeons provides a summary of the evidence behind the interventions to prevent surgical site infection for hip and knee arthroplasty.

Data Tracker Worksheet: Prevent Surgical Site Infection for Hip and Knee Arthroplasty

This Excel spreadsheet is designed to aid in tracking compliance with implementing the interventions recommended in the IHI How-to Guide: Prevent Surgical Site Infection for Hip and Knee Arthroplasty.

Patient Preparation Checklist for Surgery from University of Tennessee Medical Center: S. aureus Decolonization Prevent Surgical Site Infection

This checklist provides information to staff on Bactroban medication use and body cleansing with an antiseptic agent for patients undergoing Staphylococcus aureus decolonization prior to surgery to lower the risk of surgical site infection.

Patient Instructions from Exempla Lutheran Medical Center: S. aureus Nasal Screening

This instruction sheet provides detailed instructions for nasal Stahlyococcus aureus decolonization using Bactroban and is given to patients with positive nasal screens prior to surgery to lower the risk of surgical site infection.

Medication Checklist from Exempla Lutheran Medical Center: S. aureus Surgical Patients

This checklist provides information to staff on Bactroban medication use for patients undergoing nasal Staphylococcus aureus decolonization prior to surgery to lower the risk of surgical site infection.

Patient and Staff Instructions from Magee Women's Hospital of UPMC: S. aureus Screening in Surgical Patients

This instruction sheet provides detailed instructions for patients and staff on nasal Staphylococcus aureus screening and is given to patients prior to surgery to lower the risk of surgical site infection.

Patient Instructions from Sparrow Hospital: Preoperative S. aureus Decolonization to Prevent Surgical Site Infection

This instruction sheet provides detailed instructions for showering with antiseptic soap and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.

Patient Instructions New England Baptist Hospital: Preoperative S. aureus Screening and Decolonization to Prevent Surgical Site Infection

This instruction sheet provides detailed instructions for nasal Staphylococcus aureus decolonization using Bactroban and is given to patients with positive nasal screens prior to surgery to lower the risk of surgical site infection.

Patient Instructions from Canton Potsdam Hospital: Preoperative Skin Preparation to Prevent Surgical Site Infection in Joint Replacement Surgery

This instruction sheet provides detailed instructions for bathing with disposable chlorhexidine gluconate (CHG) antiseptic wipes and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.

Patient Instructions from Banner Health: Preoperative Skin Preparation to Prevent Surgical Site Infection in Joint Replacement Surgery

This instruction sheet provides detailed instructions for showering or bathing with antiseptic soap and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.

Spanish Language Patient Instructions from Good Samaritan Hospital: Preoperative Skin Preparation to Prevent Surgical Site Infection

This Spanish language instruction sheet provides detailed instructions for showering or bathing with antiseptic soap and is given to all patients prior to joint replacement surgery to lower the risk of surgical site infection.

Patient Preparation Checklist from Canton-Potsdam Hospital: S. aureus Decolonization to Prevent Surgical Site Infection

How-to Guide: Reduce Surgical Complications — Pediatric Supplement

This How-to Guide tailored specifically for pediatrics describes key evidence-based care components for reducing surgical complications, describes how to implement these interventions, and recommends measures to gauge improvement.

How-to Guide: Reduce Surgical Complications

This How-to Guide describes key evidence-based care components for reducing surgical complications, describes how to implement these interventions, and recommends measures to gauge improvement.

How-to Guide: Prevent Surgical Site Infection — Pediatric Supplement

This How-to Guide tailored specifically for pediatrics describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement.

How-to Guide: Prevent Surgical Site Infections

This How-to Guide describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement.

Guidelines Advisory Statement Summary Slides: Antimicrobial Prophylaxis for Surgery

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."

Framework from Centers for Medicare & Medicaid Services Surgical Infection Prevention Collaborative

Framework from the CMS Surgical Infection Prevention Collaborative, including charter, mission, change package, measures, and literature.

Tips for Safer Surgery

This tip sheet provides surgical patients with key questions they should ask their surgical care team prior to surgery.

Standard Physician Post-Operative Order Sets for Orthopedic Surgery

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.