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

Sheri Walker, Abigail Hebb
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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 for Women''s Health Nursing-Nursing (all)
CiteScore
2.10
自引率
0.00%
发文量
90
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.
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