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SSI – Final April 2012 Category Core Core Core Core Title “How-to Guide: Prevent Surgical Site Infection” (Institute for Healthcare Improvement [IHI]) Source http://www.ihi.org/knowledge/Pages/Tools/HowtoGuidePre ventSurgicalSiteInfection.aspx “Guideline for Prevention of Surgical Site Infection, 1999” (U.S. Department of Health & Human Services, Centers for Disease Control and Prevention [CDC]) “Frequently Asked Questions about Surgical Site Infections” (CDC) Surgical Site Infection (SSI) Toolkit (CDC) http://www.cdc.gov/hicpac/pdf/SSIguidelines.pdf “National Healthcare Safety Network (NHSN)” (CDC) http://www.cdc.gov/nhsn/ Description This how-to guide describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement. The “Guideline for Prevention of Surgical Site Infection, 1999” presents the Centers for Disease Control and Prevention (CDC)’s recommendations for the prevention of surgical site infections (SSI). http://www.cdc.gov/HAI/ssi/faq_ssi.html This site includes FAQs about surgical site infections. http://www.cdc.gov/HAI/pdfs/toolkits/SSI_toolkit021710SIB T_revised.pdf This CDC Toolkit is organized as a PowerPoint document and includes SSI prevention strategies. The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system that integrates and expands legacy patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at CDC. NHSN also includes a new component for hospitals to monitor adverse reactions and incidents associated with receipt of blood and blood products. Enrollment is open to all types of healthcare facilities in the United States, including acute care hospitals, long term acute care hospitals, psychiatric hospitals, rehabilitation hospitals, outpatient dialysis centers, ambulatory surgery centers, and long term care facilities. Core 1 Category Title “Changes to Prevent Surgical Site Infection” (IHI) “Prevent Surgical Site Infection” (IHI) Surgical Site Infection Prevention Bundle (Health Protection Scotland) “How-to Guide: Prevent Surgical Site Infection — Pediatric Supplement” (IHI) Source http://www.ihi.org/knowledge/Pages/Changes/ChangestoPr eventSurgicalSiteInfection.aspx http://www.ihi.org/explore/ssi/Pages/default.aspx “Preventing Surgical Site Infections” (U.S. Department of Health & Human Services, HealthCare.gov) “Why Not The Best? Quality Improvement Resources for Healthcare Professionals” (The Commonwealth Fund) http://www.healthcare.gov/compare/partnership-forpatients/safety/infections_.html http://www.ihi.org/knowledge/Pages/Tools/WHOSurgicalSaf etyChecklistGettingStartedKit.aspx Enhanced “World Health Organization (WHO) Surgical Safety Checklist and Getting Started Kit” (IHI) Enhanced “Infection Prevention: Surgical Site Infection” (IHI) http://www.ihi.org/offerings/MembershipsNetworks/Mento rHospitalRegistry/Pages/InfectionPreventionSSI.aspx Core Core Core Core - Pedi Core to Enhanced Core to HPH http://www.documents.hps.scot.nhs.uk/hai/infectioncontrol/bundles/ssi/ssi-bundle.pdf http://www.ihi.org/knowledge/Pages/Tools/HowtoGuidePre ventSurgicalSiteInfectionPediatricSupplement.aspx http://whynotthebest.org/contents/index/1/4 2 Description This site includes a number of changes facilities can implement to prevent SSI. This site includes a number of tools from IHI to aid a facility in SSI prevention. Procedures and checklists created by Health Protection Scotland to help prevent SSI. How-to guide tailored specifically for pediatricians describes key evidence-based care components for preventing surgical site infections, describes how to implement these interventions, and recommends measures to gauge improvement. Site includes a list of resources, peer reviewed research, and successful efforts to reduce SSIs. This site presents case studies that enable hospitals to learn from other hospitals about successful strategies to create safe, reliable health care processes. Hospitals can browse case studies by topic. The aim of this checklist is to reinforce accepted safety practices and foster better communication and teamwork between clinical disciplines. The checklist is intended as a tool for use by clinicians interested in improving the safety of their operations and reducing unnecessary surgical deaths and complications. This site includes a table that allows facilities the ability to quickly find a mentor in the area of SSI prevention with similar demographics. Category Title Prevent Surgical Site Infections: Getting Started Kit (Safer Healthcare Now!) Source http://www.saferhealthcarenow.ca/EN/Interventions/SSI/D ocuments/SSI%20Getting%20Started%20Kit.pdf “Attacking MRSA Through Positive Deviance” (Hospitals in Pursuit of Excellence [HPOE]) “DICON to Reduce MRSA” (HPOE) http://www.hpoe.org/case-studies/7766854045 Guide to the Elimination of Orthopedic Surgical Site Infections (APIC) http://www.apic.org/Resource_/EliminationGuideForm/34e 03612-d1e6-4214-a76b-e532c6fc3898/File/APIC-OrthoGuide.pdf “Collaboration to Prevent Infections” (HPOE) http://www.hpoe.org/case-studies/4736252114 “Reducing Surgical Site Infections: Mercy Health Center” (IHI) http://www.ihi.org/knowledge/Pages/ImprovementStories/ ReducingSurgicalSiteInfectionsMercyHealthCenter.aspx Enhanced Enhanced Enhanced http://www.hpoe.org/case-studies/2846010762 Enhanced Enhanced to HPH HPH 3 Description Safer Healthcare Now! is a national program supporting Canadian healthcare organizations to improve safety through the use of quality improvement methods and the integration of evidence in practice. This “Getting Started Kit” has been written to help engage your interprofessional/interdisciplinary teams in a dynamic approach for improving quality and safety while providing a basis for getting started in SSI Prevention. Case study from Albert Einstein Medical Center that discusses how the organization tackled MRSA using a concept known as “positive deviance.” Case study from DICON that describes how Community Memorial Healthcenter (South Hill, VA) reduced MRSA rates. Guide from the Association for Professionals in Infection Control and Epidemiology (APIC). The purpose of this guide is to provide practical tools, strategies, and resources for infection preventionists, care providers, surgical staff, and quality improvement teams to use in their efforts to eliminate surgical site infections in orthopedic surgery. Case study from Bronson Methodist Hospital (Kalamazoo, MI) that describes how the Keystone Center for Patient Safety and Quality partnered with the Michigan Health and Hospital Association and Blue Cross Blue Shield of Michigan to decrease HAI throughout Michigan. Case study that describes how Mercy Health Center (Oklahoma City, Oklahoma) reduced post-surgery infections by 78% in one year by redesigning systems of care using rapid cycle Category Title Source Description improvement. HPH HPH Supporting Supporting “Reducing HealthcareAssociated MRSA Infections on a Surgical Unit” (IHI) http://www.ihi.org/knowledge/Pages/ImprovementStories/ ReducingHealthcareAssociatedMRSAInfectionsonaSurgicalU nit.aspx Guide for the Prevention of Mediastinitis Surgical Site Infections Following Cardiac Surgery (Association for Professionals in Infection Control and Epidemiology (APIC), http://www.apic.org/Resource_/EliminationGuideForm/a99 4706c-8e6c-4807-b89a-6a7e6fb863dd/File/APICMediastinitis-Elimination-Guide.pdf “Having Surgery? What You Should Know Before You Go” (CDC) “Strategies to Prevent Surgical Site Infections in Acute Care Hospitals” (University of Chicago Press, Infection Control and Hospital Epidemiology) http://www.cdc.gov/features/safesurgery/ http://www.jstor.org/stable/10.1086/591064 4 Case study that describes how St. John's Regional Center (Springfield, Missouri) reduced hospital-acquired infections through their work in an IHI Learning and Innovation Community on Reducing Hospital-Acquired Infections. Guide from the Association for Professionals in Infection Control and Epidemiology (APIC). The purpose of this guide is to help the infection preventionist to implement evidence-based strategies that minimize the risk of postoperative mediastinitis following cardiac surgery procedures in the inpatient hospital setting. A guide created by the CDC to protect yourself and your loved ones from infections related to surgery. The article highlights practical recommendations in a concise format to assist acute care hospitals to implement and prioritize their surgical site infection (SSI) prevention efforts. This journal is available for purchase.