Contacts Clinical Contact Rosa M. Johnson, ARNP, MN, CPHQ Director, Medicare Operations, Washington Qualis Health 206-364-9700, ext. 2142 rosaj@qualishealth.org The Six Changes Rapid Response Teams Prevent Adverse Drug Events Reliable, Evidence-Based Care for Acute Myocardial Infarction Prevent Central Line Infections Prevent Surgical Site Infections Prevent Ventilator-Associated Pneumonia Download Helper Adobe Acrobat PDF files Webex presentations Audio files

Prevent Surgical Site Infections
… by reliably delivering the correct perioperative antibiotics at the proper time.

The “SSI bundle” includes three components:

• guideline-based use of prophylactic antibiotics
• appropriate hair removal, and
• perioperative glucose control.

The power of a “bundle” is that it brings together those scientifically grounded concepts that are both necessary and sufficient to improve the clinical outcome of interest. The focus of measurement is the completion of the entire bundle as a single intervention, rather than completion of its individual components.

Resources to get you started

• One-page summary
• How-to Guide
• Presentation with Facilitator Notes
• Annotated Bibliography
• Recording of the March 23 Prevent Surgical Site Infection Informational Call

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• Tools and Resources
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References
¹Martone WJ, Jarvis WR, Culver DH, Haley RW. Incidence and nature of endemic and epidemic nosocomial infections. In: Bennett JV, Brachman PS, eds. Hospital Infections. 3rd ed. Boston: Little, Brown and Co; 1992. p. 577–96.
²Boyce JM, Potter-Bynoe G, Dziobek L. Hospital reimbursement patterns among patients with surgical wound infections following open-heart surgery. Infect Control Hosp Epidemiol.1990;11(2):89–93.
³Poulsen KB, Bremmelgaard A, Sorensen AI, Raahave D, Petersen JV. Estimated costs of postoperative wound infections. A case-control study of marginal hospital and social security costs. Epidemiol Infect. 1994;113(2): 283–295.
⁴Dellinger EP, Gross PA, Barrett TL, et al. Quality standard for antimicrobial prophylaxis in surgical procedures. The Infectious Diseases Society of America. Infect Control Hosp Epidemiol. 1994;15:182–188.
⁵Mangram AJ, Horan TC, Pearson ML, et al.: Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:250–278; quiz 279–280.