In the May 2018 Association of periOperative Registered Nurses (AORN) Journal, Jeanette Harris, MS, MSM, BS, MT(ASCP), CIC, FAPIC, infection prevention leader at MultiCare Health System in Washington state, published a description of the success of a colorectal surgical site infection (SSI) prevention bundle in a multihospital system.
A key outcome of their work demonstrated the impact of reducing clinical variation. The team discovered early on that the pre-operative period for outpatient surgical patients is critical to improving outcomes. Interventions that were identified as key included patient education, preoperative testing and making sure that the patient understands what is expected of him or her.
This new study provides numerous concrete ideas and guidance on how to engage the patient and family who all want what we want…zero SSI. Some highlights are:
74.6 percent reduction in readmissions
22.73 percent reduction in length of stay
85 percent reduction in colon surgical site infections measured by incidence (84.5 percent reduction) and standard infection ratio (54.55 percent reduction), and 95 percent compliance with the use of both order sets during an 18‐month period
Applying standardized order sets for assessing and addressing patient comorbidities before colorectal surgery can result in a substantial and sustainable reduction in complications