Best Practices and a Business Case for Surgical Site Infection Prevention.

Autor: Kang M, Andrew ME, Farishta A, Oltmann SC, Sreeramoju PV
Jazyk: angličtina
Zdroj: AORN journal [AORN J] 2023 May; Vol. 117 (5), pp. 277-290.
DOI: 10.1002/aorn.13912
Abstrakt: Surgical site infections (SSIs) can be costly and result in prolonged hospital stays; readmissions; and additional diagnostic tests, therapeutic antibiotic treatments, and surgical procedures. Evidence-based practices for preventing SSIs include environmental cleaning; instrument cleaning, decontamination, and sterilization; preoperative bathing; preoperative Staphylococcus aureus decolonization; intraoperative antimicrobial prophylaxis; hand hygiene; and surgical hand antisepsis. Strong partnerships among infection prevention personnel, perioperative nurses, surgeons, and anesthesia professionals may enhance perioperative infection prevention. Facility and physician-specific SSI rates should be reported to physicians and frontline personnel in a timely, accessible manner. Together with costs associated with SSIs, these data help determine the success of an infection prevention program. Leaders can develop a comprehensive business case proposal for perioperative infection prevention programs. The proposal should describe the need for the program and anticipated return on investment; it also should focus on the goal of decreasing SSIs by establishing metrics for assessing outcomes and addressing barriers.
(© AORN, Inc, 2023.)
Databáze: MEDLINE