Surgical Site Infections

1
Surgical Site Infections

• Keystone Surgery Workshop
• Traverse City Michigan
• October 20, 21, 2008
• Kim Greenwald, RN, BA, BAS, Infection Control
  Coordinator
• Kathy Wells, RN, BSN, Manager in Surgical
  Services
• Becky Brown, MSN, RN, Performance Improvement
  Coordinator

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SSIs

• History where we have been
• Present current state
• Opportunities Our to-do list

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History

• Initially owned by Infection Control
• CDC Preventative Measures
• Antibiotic timing
• Eliminate razors
• Proper preps

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History

• Timing of antibiotic administration
• Who owned the process
• Real time feedback
• Daily reports by Infection Control Nurse
• Posted by OR Manager and discussed in staff
  meeting

5
Engagement Education

• Strong Physician Champion
• Implementation of Time Outs
• Increased emphasis/education with implementation
  of Crew Resource Management (2006)

6
Clinical Quality

• SCIP measures
• Thresholds set by Trinity Health
• Measures are reported organizationally as well as
  up through Trinity Health
• Dashboard presented at organizational quality and
  other key leadership groups
• Opportunities Education and Evaluation is
  ongoing

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Surgical Antibiotics Prophylaxis Colon
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Craniotomies
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Fusions
10
Laminectomies
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Opportunities

• Beyond the antibiotics
• Glycemic Control
• Thermoregulation
• Ongoing education
• Ongoing evaluation of key processes
• Continuing Physician Dialogue

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Collaboration

• Key to success current and past
• Infection Control
• Clinical Quality
• Surgical Services Clinical Leadership
• Surgical Services Performance Improvement Council
• Physician Champion

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Questions?