Search results for "Active Errors"
- Active Errors
- Surgical Site Infections
Download Citation File:
- View: Basic | Expanded
- Sort: Best Match | Most Recent
Journal Article > Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Bish EK, Azadeh-Fard N, Steighner LA, Hall KK, Slonim AD. J Patient Saf. 2017;13:69-75.
This study reports on the use of a prospective risk assessment tool to identify risks for surgical site infection in an ambulatory surgery center. A safety intervention was developed that specifically targeted the vulnerabilities identified by the risk assessment. Other methods of prospective error detection are discussed in the Detection of Safety Hazards Patient Safety Primer.
Book/Report
Global Guidelines on the Prevention of Surgical Site Infection.
Allegranzi B, Bischoff P, de Jonge S, et al; WHO Guidelines Development Group. Geneva, Switzerland: World Health Organization; 2016. ISBN: 9789241549882.
Efforts to reduce surgical site infections have achieved some success. The World Health Organization has taken a leading role in eliminating health care–associated harms and has compiled guidelines to address factors that contribute to surgical site infections in preoperative, intraoperative, and postoperative care. The document includes recommendations for improvement informed by the latest evidence.
Newspaper/Magazine Article
More than half a million heart surgery patients at risk of a dangerous infection.
Sun LH. The Washington Post. October 13, 2016.
Medical devices can contribute to the spread of health care–associated infections. This news article discusses a government report that raises concerns that patients may have been exposed to a deadly bacterial infection related to an essential piece of equipment used in cardiac surgery worldwide. The resulting infection can be difficult to diagnosis as symptoms may remain dormant for months after the initial exposure.
Journal Article > Commentary
Back to basics: preventing surgical site infections.
Spruce L. AORN J. 2014;99:600-611.
Surgical site infections are a common yet preventable unintended consequence of surgery. This commentary describes strategies to reduce such infections, including hand hygiene adherence, checklist use, and speaking up when team members display poor compliance with best practices.
Journal Article > Commentary
Standardization in patient safety: the WHO High 5s project.
Leotsakos A, Zheng H, Croteau R, et al. Int J Qual Health Care. 2014;26:109-116.
This commentary describes a World Health Organization effort to design and apply standardized care processes to address safety concerns. Three standards (surgical site identification, medication reconciliation, and concentrated injectable medicines) have been developed and implemented in multiple countries in the past 5 years.
Journal Article > Study
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Gibson A, Tevis S, Kennedy G. Am J Surg. 2014;207:832-839.
The National Surgical Quality Improvement Program (NSQIP) was developed to monitor and enhance the quality of surgical care. This retrospective study used the NSQIP indicators to identify cases of surgical site infections. Researchers found that nearly 50% of patients were diagnosed following hospital discharge, and many of these infections led to readmissions. Patients who presented with a surgical site infection after discharge were less likely to smoke or have chronic cardiopulmonary illness. The authors suggest that closer postdischarge follow-up might have prevented some readmissions they identified. However, prior studies did not show a benefit to early follow-up. A past AHRQ WebM&M commentary discussed environmental safety in the operating room and its relationship to surgical site infections.