Prevention of orthopaedic wound infections: A quality improvement project

Journal of quality in clinical practice Pub Date : 2002-01-21 DOI:10.1046/j.1440-1762.2001.00435.x

Paul Douglas MB BS, DRACOG, MHA, FRACMA, Margo Asimus RN, Judith Swan RN, BSC, GradDipPH, Allan Spigelman MB BS, MD, FRCS, FRACS

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引用次数: 27

Abstract Using clinical practice improvement methodology, a project was undertaken to reduce the incidence of surgical wound infections following elective hip and knee replacement surgery. A team was established, key measures for improvement were identified, strategies for change were developed and an action plan was implemented. Outcomes for this project included a reduction in the rate of clean surgical wound infection for joint replacement surgery from 28% to zero. Average length of stay for total hip replacement surgery was reduced from 13.9 to 9.3 days and from 14.6 to 10.4 days for total knee replacement surgery. Guidelines for patient selection were developed along with a protocol for the management of preparation to prevent urinary tract infections. Post-discharge surveillance and a preoperative rehabilitation and exercise programme have been implemented. There is potential for wider uptake and implementation of the quality principles described herein.

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预防骨科伤口感染:一项质量改进工程

摘要采用临床实践改进方法，进行了一个项目，以减少选择性髋关节和膝关节置换术后手术伤口感染的发生率。成立了一个小组，确定了主要的改进措施，制定了变革战略，并执行了一项行动计划。该项目的结果包括将关节置换术的清洁手术伤口感染率从28%降至零。全髋关节置换术的平均住院时间从13.9天减少到9.3天，全膝关节置换术的平均住院时间从14.6天减少到10.4天。制定了患者选择指南，并制定了预防尿路感染的准备管理方案。已经实施了出院后监测和术前康复和锻炼计划。本文所述的质量原则有可能得到更广泛的采纳和实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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