Surgical teams at Cedars-Sinai have reduced surgical site infections by more than 60 percent for patients who undergo colorectal procedures by introducing evidence-based protocols that are easy to follow and relatively low in cost.
Surgeons, nurses, operating room staff and patients all collaborated in a quality improvement project that measured surgical site infection rates from March 2011 to March 2012. Several new steps were introduced to guard against infections and these have now been expanded and standardized throughout the hospital.
"This work marks a significant step toward achieving Cedars-Sinai's goal of zero hospital-acquired infections," said Rekha Murthy, MD, director of Hospital Epidemiology. "It represents the first of several projects to eliminate post-op infections."
The new approach modified or optimized past practices:
As a result of these steps and others, the rate of post-operative surgical site infections after colorectal surgeries dropped from a baseline of 15 percent to less than five percent within six months.
Doctors said the infection rate continued to decline after the initial rollout of the protocol, remaining well below five percent through July 2012, which is the most recent data available, Lower infection rates, they said, translate into fewer visits to the Emergency Department, fewer hospital readmissions and less need for subsequent operations.
Cedars-Sinai conducted its test as part of a larger national research project on surgical site infections piloted at seven large hospitals across the country, including Stanford University Medical Center and the Mayo Clinic. Under the collaborative, coordinated by The Joint Commission's Center for Transforming Healthcare, the hospitals each worked to develop a protocol to dramatically reduce surgical site infections among patients who underwent colorectal procedures.
Cedars-Sinai was among the hospitals that showed the best results, exceeding the goal for the hospitals to reduce infection rates by 50 percent and sustaining its success over a prolonged period.
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