Narrow Results Clear All
Search results for ""
Journal Article > Study
Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial.
Belda FJ, Aguilera L, García de la Asunción J, et al; Spanish Reduccion de la Tasa de Infeccion Quirurgica Group. JAMA. 2005;294:2035-2042.
This study addresses the benefits of a low-risk intervention to reduce postoperative surgical site infections, an emphasis recently publicized through the 100,000 Lives Campaign. The randomized-controlled trial of 300 elective colorectal surgery patients demonstrated that 80% fraction of inspired oxygen (FiO2) perioperatively reduced the incidence of postoperative wound infections compared to the patients receiving 30% FiO2. The authors suggest that use of oxygen therapy provides a low-cost intervention that poses an opportunity for important reduction in poor patient outcomes. Of note, an accompanying editorial (link provided below) discusses these study findings in the context of past conflicting research and advocates for preferential use of quality improvement strategies that demonstrate unquestioned benefit, such as the timing and delivery of prophylactic antibiotic therapy. Many of these interventions continue to be underutilized.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.
Some of the most prominent successes in the patient safety field have been achieved in preventing health care–associated infections. Sponsored by The Joint Commission Center for Transforming Healthcare and the American College of Surgeons, this effort used rigorous quality improvement methodology and a collaborative approach across seven participating hospitals to tackle the problem of surgical site infections (SSIs) in patients undergoing colorectal surgery. The project was a remarkable success, achieving a 32% reduction in SSIs during the study period. The Center for Transforming Healthcare is also sponsoring efforts to prevent wrong-site surgery and improve hand hygiene and handoff communications.
Journal Article > Commentary
Pettis AM. AORN J. 2018;108:644-650.
Failure to adhere to evidenced-based practices can result in patient harm. This article explores how high reliability concepts can support the reliable use of best practices to prevent surgical site infections. The authors suggest a framework focused on team engagement, education, implementation, and evaluation to encourage the use of evidence-based practice on the front line.