Lions Gate Hospital
Preventing Surgical Site Infection (SSI): How do we align with best practice?
PROJECT SUMMARY





...
Upcoming SlideShare
Loading in …5
×

Achieving Surgical Excellence at Lions Gate Hospital – How does our practice align with best-practice guidelines in reduction of surgical site infections?

332 views

Published on

This poster highlights the work of a project from the Surgical Quality Action Network's 2013 studentship program.

The program was partnership between the UBC Department of Surgery, the Office of Pediatric Surgical Evaluation and Innovation (OPSEI) and the BC Patient Safety & Quality Council.

This poster was presented by Patrick Toyota, Ramesh Sahjpaul, Irene Sui and Elena Murzello.

Learn more at http://bcpsqc.ca/clinical-improvement/sqan/

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
332
On SlideShare
0
From Embeds
0
Number of Embeds
11
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Achieving Surgical Excellence at Lions Gate Hospital – How does our practice align with best-practice guidelines in reduction of surgical site infections?

  1. 1. Lions Gate Hospital Preventing Surgical Site Infection (SSI): How do we align with best practice? PROJECT SUMMARY    Utilizing data from the National Surgical Quality Improvement Program (NSQIP), it was identified that we had a higher than expected rate of SSI The project goal was to assess how we currently use best practice guidelines related to prevention of SSIs in the peri-operative setting, and identify plans for future improvement 5 weeks of observations were undertaken using convenience sampling, in our General Surgery and Orthopedics population, to provide a baseline for current practice. A total of 81 cases were observed Hair Removal PERI - OPERATIVE BEST PRACTICES Maintenence of normothermia Appropriate hair removal OBSERVATIONAL RESULTS & LESSONS LEARNED Antibiotic Prophylaxis Team member/NSQIP Quality Coordinator: Irene.Siu@vch.ca Team member/OR Nurse Educator: Sandy.Kwok@vch.ca Surgeon Champion: Ramesh.Sahjpaul@vch.ca •Pre-op antibiotics infused within 060 minutes prior to incision •Intra-op redosing of cefazolin during procedures >4 hours •Weight-based dosing–2g cefazolin for patients ≥80kg; 3g for ≥120kg RESULTS •Clipper only when pre-op hair removal needed RESULTS •0% razor use Blood glucose control SaferHealthCareNow Prevent al Site Infections Getting Started Kit (March 2011) GOALS CONTACT US: Use of skin preparation solutions Prevention of Surgical Site Infection MEET THE TEAM! LGH Operating Room Quality Improvement Committee Formed in the spring of 2013 to provide a platform for exploration of topics in safety and quality related to the perioperative setting. Goal is to use a multidisciplinary approach to ensure best practice for the benefit of both patients and staff Appropriate antibiotic prophylaxis GOAL NEXT STEPS •Average = 16 •Develop protocol minutes prior to to ensure incision. 98% met appropriate regoal dosing •NSQIP sample: •Finalize and 9/581 cases >4 implement hour duration. standard new 44% met goal weight-based dosing protocol •Preop Cefazolin: 23 patients ≥80kg. 65% met goal NEXT STEPS •Ensure availability of clippers and eliminate any remaining razor stores •Continue education and monitoring Use of Skin Preparation Solutions GOAL RESULTS NEXT STEPS •Use of •0% of cases met •Staff education to Chlorhexidine all criteria align with Alcohol 2%/70% recommended per practice manufacturer •Identify barriers directions to meeting the goal Normothermia GOAL RESULTS NEXT STEPS •Patient •79% of cases •Aim for 100% temperature had a documentation ≥36˚C at surgery documented of post-op stop time or post-operative temperatures, arrival to post- temperature •Explore use of anesthesia • 15% had a normothermia recovery (PAR) temperature protocol below 36˚C

×