Implementing a multidisciplinary care bundle to reduce colon surgical site infections
- Authors
- Park, Chi-Min; Ha, Tae Sun; Lee, Woo Yong; Chung, Doo Ryeon; Park, Yoon Ah; Choi, Jong Rim; Jeong, Na Yeon
- Issue Date
- Nov-2020
- Publisher
- 대한외과학회
- Keywords
- Bundle; Colorectal surgery; Compliance; Surgical wound infection
- Citation
- 대한외과학회지, v.99, no.5, pp 285 - 293
- Pages
- 9
- Journal Title
- 대한외과학회지
- Volume
- 99
- Number
- 5
- Start Page
- 285
- End Page
- 293
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/2369
- DOI
- 10.4174/astr.2020.99.5.285
- ISSN
- 2288-6575
2288-6796
- Abstract
- Purpose: The aim of this study was to investigate how rates of surgical site infections (SSI) were changed over 2 years after applying colon SSI bundle in patients who underwent colon surgery. Methods: The multidisciplinary working group developed a care bundle consisting of 8 components, including several recommendations of Surgical Care Improvement Project and monitoring of medical/surgical hand washing. We implemented the care bundle for each patient who underwent colon surgery from April 2013 to December 2014. Results: Overall bundle compliance was 87.9% before implementation, 88.2% in 2013, and 90.5% in 2014. In particular, compliance of the following 3 components was substantial improved during the project period; discontinuation of prophylactic antimicrobial agent within 24 hours of surgery (from 88.3% to 100%), surgical hand washing (from 50.0% to 78.9%), and medical hand washing (from 74.7% to 82.8%). The rate of SSI was 8.0% (12/150) during 3 months before implementation, 3.3% (16/480) from April to December in 2013, and 2.3% (14/607) in 2014. Conclusion: After implementation of multidisciplinary care bundle, the compliance of each component was increased and rates of SSIs were significantly decreased compared to those before the quality improvement project.
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Collections - College of Medicine > Department of General Surgery > 1. Journal Articles
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