An Initiative to Prevent Surgical Site Infections After Cesarean Birth With a Quality Improvement Care Bundle

Nursing for Women''s Health Pub Date : 2024-03-19 DOI:10.1016/j.nwh.2023.11.010

Sheri Walker, Abigail Hebb

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引用次数: 0

Abstract

Objective

To reduce surgical site infections (SSIs) after cesarean birth through a bundled care approach.

Design

Quality improvement project.

Setting/Local Problem

In a community hospital obstetric unit, an increase in SSIs after cesarean birth was observed.

Participants

Nursing leaders, obstetricians, certified nurse-midwives, physician assistants, nurses, scrub technicians, a nursing professional development specialist, and an infection prevention practitioner.

Interventions/Measures

An interdisciplinary team was formed in early 2022, and an evidence-based care bundle including practice changes, education for the team, and enhanced education for patients undergoing cesarean birth was developed and implemented after a review of the literature was completed. All cesarean births were tracked pre- and postintervention to determine the rate of SSIs per 1,000 cesarean births.

Results

A decrease in the rate of SSIs after cesarean birth was observed from preintervention (18.2 per 1,000 cesarean births) to postintervention (11.8 per 1,000 cesarean births).

Conclusion

An evidence-based quality improvement care bundle using a multidisciplinary team approach was associated with reduced SSIs in an obstetric unit.

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通过质量改进护理包预防剖腹产后手术部位感染的倡议。

目标：通过捆绑式方法减少剖宫产术后手术部位感染（SSI）：通过捆绑式方法减少剖宫产后的手术部位感染（SSI）：环境/当地问题：在一家社区医院的产科，观察到剖宫产后 SSI 增加：干预/措施：2022 年初成立了一个跨学科团队，在完成文献综述后，制定并实施了循证护理包，其中包括实践改变、团队教育以及对剖宫产患者的强化教育。对干预前后的所有剖宫产手术进行跟踪，以确定每 1000 例剖宫产手术中的 SSI 感染率：结果：观察到剖宫产后的 SSI 感染率从干预前（每 1,000 例剖宫产中 18.2 例）下降到干预后（每 1,000 例剖宫产中 11.8 例）：结论：采用多学科团队方法的循证质量改进护理包与产科感染 SSI 的减少有关。

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来源期刊

Nursing for Women''s Health Nursing-Nursing (all)

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： Nursing for Women"s Health publishes the most recent and compelling health care information on women"s health, newborn care and professional nursing issues. As a refereed, clinical practice journal, it provides professionals involved in providing optimum nursing care for women and their newborns with health care trends and everyday issues in a concise, practical, and easy-to-read format.