ssi bundle checklist

3 0 obj <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2021 NHSN Surgical Site Infection (SSI) Checklist Surgical Site Infection (SSI) Documentation Review Checklist Definition of an NHSN Operative Procedure . A SCIP-compliant antibiotic was chosen in 2,431 or 81.4% of cases (n=3002). �35]+�8r%;��# �M��%[�/Cm>F�q8�6fJ��I%��+�`���y�� .p�g��F�7 Q~W��pk��r9��氨�~�P,��Vu�2�*��Qw�M��ƅ'�}��I�E/&� Separate tray of instruments used for bowel anastomosis. Comprehensive Unit-based Safety Program (CUSP). This is based on both personal experience and evidenced based practice and not intended to suggest product preference or endorsement. The rows are labeled intraoperative: ostomy present or ostomy not present; length of operation, mean hours. Antibiotics redosing and weight-based dosing. Include alcohol to increase durability of sterilization. %�� The Y-axis is a range of 0 to 3. – Mechanical bowel prep + oral antibiotics + pre -operative IV antibiotics – CHG 70% alcohol prep. Surgery patients who were given an antibiotic at the right time (within 1 hour before surgery) to help prevent infection; JH - 98%, Other - 97%. Surgery patients who had hair removed from the surgical area before surgery using a safer method (electric clippers or hair removal cream instead of a razor); JH - 100%, Other - 100%. Sample 2009 NSQIP report (American College of Surgeons National Surgical Quality Improvement Program). Develop practical and feasible strategy to evaluate performance and identify defects. Larger samples yield better estimates of performance. Along with the next image of used instruments, this image shows the physical separation between used and unused surgery implements. _�.w�N��>�-�k� Lj#�1�� f�G͉E6(� �>P�νN�?3��g$��e��P�rR~� �f��(+sV��8Ts��2MY Please click on the section headings to … If a patient reports that he or she was unable, an antiseptic shower, bath or full body wipe is to be completed pre-operatively. Develop and implement a surgical site infection (SSI) reduction goal and prevention bundle that addresses up to three surgical care processes. E�N�`��H��I~�#|�␻?v6�Az">u��){�]g�*y Aw�l�;�ֆ. Chart review- 61% of patients documented to have received pre -op scrub and 91% of those patients completed pre-operative scrub. May 2019 Evaluate a sample of patients undergoing your targeted procedure for compliance with processes your team identified as potential areas to improve. Was the first antibiotic infusion completed < 60 minutes BEFORE incision? A surgical site infection bundle checklist developed by the Joint Commission. ?��/lu~��G�R/�ط��3��3�8��}�W-~��F��f�+ѿ~�m��d��z~�A��@U#��;�Z(s7(�F1�#؁-�-��6��{aB�=�� /^�E��(�=�Ex�:�;Hā'�GB:� If NO, skip to question 16. CDC GUIDELINE FOR THE PREVENTION OF SSI, 2017 Current Bundle: A strategy to address the recommendation is currently incorporated into the SSI Bundle for that service. Postoperative hyperglycemia is associated with an increased risk of SSI in general surgery patients. Monitor adherence to SSI Colon prevention bundle elements to identify gaps and opportunities for improvement. The characteristics of the baseline and care bundle groups were compared, and SSI rates in the six-month period immediately before the implementation of the bundle were compared with SSI rates in the six months after bundle … Data were anonymised and identifying fields removed prior to analysis. Hardwiring Culture Compared indwelling urinary catheter and esophageal sensors in local trial. CUSP methodology empowers frontline staff. J. Image: A table depicting perioperative antibiotic prophylaxis to prevent surgical site infection. Hyperglycemia is common in hospitalized patients. Extra suction along with both bovie tip and gloves opened and changed after anastomosis. Slashing SSI Bundle Introduction Surgical site infection (SSI) is the most common and costly health care-acquired infection (HAI), occurring in up to ... upon admission to the preoperative area as a part of a preoperative bundle/checklist. This protocol for surgical site infection (SSI) surveillance is designed to support the implementation of the World Health Organization (WHO) Global guidelines on the prevention of SSI (1)and their implementation strategy. 38% of medical and surgical patients had hyperglycemia. The majority of SSIs are largely preventable and evidence-based strategies have been available for years and implemented in … Added dose calculator in anesthesia record. <> Adapt tool from AHRQ Web site or develop new tool. The Preventive Surgical Site Infection Bundle in Colorectal Surgery: An Effective Approach to Surgical Site Infection Reduction and Health Care Cost Savings (Keenan et al.) The first column titled Antibiotics Practices includes rows that describe different antibiotic practices. Rows beneath this column list opportunities to improve related to the categories of safety issues identified. The X-axis is labeled with report identification numbers. The number of cases and emergency cases for some different practices are highlighted. Standardize selections based on your hospital procedures. Are associated with increased length of stay, readmission, and mortality. The second column shows applying CUSP steps 4 and 5 with opportunities to improve. 2 0 obj Image: Sample of Normothermia Audit Tool (1 of 2). Bringing Emerging Evidence for SSI Prevention to your Patients, Image: Screenshot of an ASHP article entitled “Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery.”. 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. Cambridge, MA: Institute for Healthcare Improvement; 2012. The new infographic, “It Takes a Team,” has tips for ASC leaders, caregivers, patients and families on ways they can keep patients safe from harm. [pre-op, at incision, case stop, PACU/ICU], Length of Case (Anesthesia start to stop time). ��8J��E� �h�̛��SY��VEJK?�&�P�a�U��(/g(��*u=�˜��n��#��|އpc�T�͔��{�ܡ!�~)&��W�rvP��u{��:/t�c|D�[T�h�-�πsR0��H�yax-/�H�!��pUͮ��l� �u;�-�=��ƒhٹ��(��a��UVH4��]S{C�7@�uI��:�Ҷ[�PZ��L�4��3�K��5��̼P�F��y�z]��E� Specific care bundles include bundles for the prevention of central line-associated bloodstream infections (CLABSI), bundle for the prevention of catheter-associated urinary tract infections (CAUTI), bundle for the prevention of ventilator-associated pneumonia (VAP), and bundle for the prevention of surgical site infection. If the patient’s temperature was documented below 36°C, where was the patient located at that time? An NHSN Operative Procedure is a procedure • that is included in the ICD-10-PCS and/or CPT NHSN operative procedure code mapping And • PROOF OF AGE. Fvg?ǜ��^FJ��9��a��%�]�n��7��1OF�D��R�n�?�,��xc=+X�"S�BA�pd�4�Wp�W��I��dT �+v��]1��Ԥ� National Healthcare Safety Network. If YES, was redosing given < 6 hours after the first dose of Cefotetan? Facilitator Notes (Word, 6.97 MB), Internet Citation: Building Your SSI Prevention Bundle: Slide Presentation. Recommendation Ortho Category Ortho Current Bundle If patient cephalosporin allergic, were both Ciprofloxacin and Metronidazole given? Pick 2–3 audit tools based on frontline feedback, SCIP measures and emerging evidence. II. MSQC Colectomy Bundle Recommendations and Tool The MSQC is dedicated to improving the quality of patient care processes and outcomes. (Available at www.ihi.org ). Rows beneath this column show examples of different types of safety issues. Educational sessions with scrub techs and nurses about instrument separation. Utilization of mechanical bowel preparation with oral antibiotics. Article from infection Control Hospital Epidemiology date of birth based on the section headings to … selected! Surgery complications ( 3-30 % ) < 60 minutes before incision which particular... 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