1.
JOURNAL REVIEW

2.
 Title : Decreasing time to antibiotic administration in open
fractures of the femur and tibia through performance
improvement in a statewide trauma: Collaborative quality
initiative
 Author : Bryant W. Oliphant, et al. 2021
JOURNAL

3.
 Previous studies have shown that receiving antibiotics within
3 hours is important in decreasing the risk of infection
However, more recent work has shown that administering
antibiotics by 66 minutes is an even better guideline to avoid
an infection. Current American College of Surgeons (ACS)
Trauma Quality Improvement Program (TQIP) Best Practice
Guidelines recommend receiving antibiotics within 60 minutes
of arrival to the emergency department.
BACKGROUND

4.
 This study aimed to assess whether this CQI, through the use
of a measured process metric, feedback reporting, and
regular collaborative meetings, could improve the timeliness
of antibiotic administration to patients with open long-bone
fractures.
JOURNAL PURPOSE

5.
 A performance baseline for each
trauma center and the overall CQI
was established using data from
2017.
 This project was designed and
carried out based on the Standards
for Quality Improvement Reporting
Excellence (SQUIRE 2.0)
framework.
METHODE

6.
 P = open-fracture patients
 I = Improvement quality of CQI
 C = Time needed to administer antibiotics
 O = Opimization of time needed to administer antibiotic for
open-fractured patients
PICO ANALYSIS

7.
 -
RESULT

8.
 a
RESULT

9.
 In conclusion, this study demonstrates that the time to
receiving antibiotics for patients with an open lower-extremity
fracture can be reduced by members of a statewide trauma
CQI in a population health driven manner. Through a
performance improvement initiative involving a process
metric, participating centers achieved the goal of 85%
patients in the CQI received antibiotics in less than 120
minutes after trauma center arrival.
CONCLUSION