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dc.contributor.authorO’ Hanlon, M
dc.contributor.authorMcKenna C
dc.contributor.authorCarton, E
dc.contributor.authorDiviney, D
dc.contributor.authorCostello, MR
dc.contributor.authorO’Sullivan, L
dc.contributor.authorFitzsimons, J
dc.contributor.authorToland, L
dc.contributor.authorDornikova, G
dc.contributor.authorCurran, R
dc.contributor.authorMcCann, C
dc.contributor.authorCrinion, L
dc.contributor.authorDoherty, T
dc.contributor.authorCrowley, C
dc.contributor.authorO’Coigligh, S
dc.date.accessioned2016-11-17T10:49:52Z
dc.date.available2016-11-17T10:49:52Z
dc.date.issued2016-09
dc.identifier.urihttp://hdl.handle.net/10147/620922
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.
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.relation.urlhttp://imj.ie/imj-september-vol-9-number-8/en
dc.subjectCAESAREAN SECTIONen
dc.subjectINFECTION CONTROLen
dc.subjectHOSPITALSen
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
html.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.


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