Can surgical site infections be reduced with the adoption of a bundle of simultaneous initiatives? The use of NSQIP incidence data to follow multiple quality improvement interventions

Can surgical site infections be reduced with the adoption of a bundle of simultaneous initiatives? The use of NSQIP incidence data to follow multiple quality improvement interventions

Can J Surg 2018;61(1):68-70 | PDF | Appendix

Duncan Rozario, MD

Summary

Surgical site infections (SSI) are a common complication after surgical procedures. To reduce the incidence of SSIs, Oakville Trafalgar Memorial Hospital decided to institute a bundle of initiatives to change multiple factors simultaneously based on best available evidence and the understanding of infection pathophysiology. We used National Surgical Quality Improvement Program data on the incidence of SSIs in our targeted and essentials, general surgery and orthopedic surgery cases before and after the implementation of an SSI reduction bundle. This article discusses whether the use of intervention bundles may assist in the reduction of a variety of postoperative surgical complications.


Accepted July 6, 2017; Published online Oct. 26, 2017

Acknowledgements: The author thanks Carmen Caloian, the surgical clinical reviewer upon whose tireless efforts rest the successes of their NSQIP program, and Neeta Bahia, Professional Practice Clinician in the operating room for her persisting efforts in education. In addition, the author thanks Julie McBrien, Program Director of Surgery at Halton Healthcare Services, for guiding their implementation of NSQIP and the program delivery team at Health Quality Ontario for their support in introducing NSQIP and many quality improvement measures to Ontario.

Affiliation: From the Department of Surgery, Oakville-Trafalgar Memorial Hospital, Oakville, Ont.

Competing interests: None declared.

DOI: 10.1503/cjs.006417

Correspondence to: D. Rozario, Oakville-Trafalgar Memorial Hospital, Department of General Surgery, 3001 Hospital Gate, Oakville ON L6M 0L8, drozario@haltonhealthcare.com