A quality improvement approach to reducing the caesarean section surgical site infection rate in a regional hospital

Hdl Handle:
http://hdl.handle.net/10147/620625
Title:
A quality improvement approach to reducing the caesarean section surgical site infection rate in a regional hospital
Authors:
O’ Hanlon, M; McKenna, C; Carton, E; Diviney, D; Costello, MR; O’Sullivan, L; Fitzsimons, J; Toland, L; Dornikova, G; Curran, R; McCann, C; Crinion, L; Doherty, T; Crowley, C; O’Coigligh, S
Publisher:
Iris Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2016
URI:
http://hdl.handle.net/10147/620625
Additional Links:
www.imj.ie
Abstract:
Surgical site infection (SSI) rates are used extensively by hospitals as a basis for quality improvement. A 30 day post-discharge SSI programme for caesarean section operations has been implemented in Our Lady of Lourdes Hospital since 2011. It has been shown that skin antisepsis and antibiotic prophylaxis are key factors in the prevention of SSI. Using quality improvement methodology, an infection prevention bundle was introduced to address these two factors. Skin antisepsis was changed from povidone-iodine to chlorhexidine-alcohol. Compliance with choice of antibiotic prophylaxis increased from 89.6% in 2014 to 98.5% in 2015. Compliance with timing also improved. The SSI rate of 7.5% was the lowest recorded to date, with the majority of SSIs (64%) diagnosed after hospital discharge. The level of variation was also reduced, however the continued presence of variation and possibility of lower infection rates from the literature imply that further improvements are required.
Item Type:
Article
Language:
en
Keywords:
MATERNAL HEALTH; CAESAREAN SECTION

Full metadata record

DC FieldValue Language
dc.contributor.authorO’ Hanlon, Men
dc.contributor.authorMcKenna, Cen
dc.contributor.authorCarton, Een
dc.contributor.authorDiviney, Den
dc.contributor.authorCostello, MRen
dc.contributor.authorO’Sullivan, Len
dc.contributor.authorFitzsimons, Jen
dc.contributor.authorToland, Len
dc.contributor.authorDornikova, Gen
dc.contributor.authorCurran, Ren
dc.contributor.authorMcCann, Cen
dc.contributor.authorCrinion, Len
dc.contributor.authorDoherty, Ten
dc.contributor.authorCrowley, Cen
dc.contributor.authorO’Coigligh, Sen
dc.date.accessioned2016-09-22T15:35:03Z-
dc.date.available2016-09-22T15:35:03Z-
dc.date.issued2016-09-
dc.identifier.urihttp://hdl.handle.net/10147/620625-
dc.description.abstractSurgical site infection (SSI) rates are used extensively by hospitals as a basis for quality improvement. A 30 day post-discharge SSI programme for caesarean section operations has been implemented in Our Lady of Lourdes Hospital since 2011. It has been shown that skin antisepsis and antibiotic prophylaxis are key factors in the prevention of SSI. Using quality improvement methodology, an infection prevention bundle was introduced to address these two factors. Skin antisepsis was changed from povidone-iodine to chlorhexidine-alcohol. Compliance with choice of antibiotic prophylaxis increased from 89.6% in 2014 to 98.5% in 2015. Compliance with timing also improved. The SSI rate of 7.5% was the lowest recorded to date, with the majority of SSIs (64%) diagnosed after hospital discharge. The level of variation was also reduced, however the continued presence of variation and possibility of lower infection rates from the literature imply that further improvements are required.en
dc.language.isoenen
dc.publisherIris Medical Journalen
dc.relation.urlwww.imj.ieen
dc.subjectMATERNAL HEALTHen
dc.subjectCAESAREAN SECTIONen
dc.titleA quality improvement approach to reducing the caesarean section surgical site infection rate in a regional hospitalen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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