지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.5
- 발행연도
- 2020.11
- 수록면
- 285 - 293 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to investigate how rates of surgical site infections (SSI) were changed over 2 years after applying colon SSI bundle in patients who underwent colon surgery.
Methods: The multidisciplinary working group developed a care bundle consisting of 8 components, including several recommendations of Surgical Care Improvement Project and monitoring of medical/surgical hand washing. We implemented the care bundle for each patient who underwent colon surgery from April 2013 to December 2014.
Results: Overall bundle compliance was 87.9% before implementation, 88.2% in 2013, and 90.5% in 2014. In particular, compliance of the following 3 components was substantial improved during the project period; discontinuation of prophylactic antimicrobial agent within 24 hours of surgery (from 88.3% to 100%), surgical hand washing (from 50.0% to 78.9%), and medical hand washing (from 74.7% to 82.8%). The rate of SSI was 8.0% (12/150) during 3 months before implementation, 3.3% (16/480) from April to December in 2013, and 2.3% (14/607) in 2014.
Conclusion: After implementation of multidisciplinary care bundle, the compliance of each component was increased and rates of SSIs were significantly decreased compared to those before the quality improvement project.
Methods: The multidisciplinary working group developed a care bundle consisting of 8 components, including several recommendations of Surgical Care Improvement Project and monitoring of medical/surgical hand washing. We implemented the care bundle for each patient who underwent colon surgery from April 2013 to December 2014.
Results: Overall bundle compliance was 87.9% before implementation, 88.2% in 2013, and 90.5% in 2014. In particular, compliance of the following 3 components was substantial improved during the project period; discontinuation of prophylactic antimicrobial agent within 24 hours of surgery (from 88.3% to 100%), surgical hand washing (from 50.0% to 78.9%), and medical hand washing (from 74.7% to 82.8%). The rate of SSI was 8.0% (12/150) during 3 months before implementation, 3.3% (16/480) from April to December in 2013, and 2.3% (14/607) in 2014.
Conclusion: After implementation of multidisciplinary care bundle, the compliance of each component was increased and rates of SSIs were significantly decreased compared to those before the quality improvement project.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (27)
참고문헌 신청
Tanner J / 2015 / Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8, 515patients / Surgery 158:66~77
Waits SA / 2014 / Developing an argument for bundled interventions to reduce surgical site infection in colorectal surgery / Surgery 155:602~606
Arriaga AF / 2009 / The better colectomy project : association of evidence-based best-practice adherence rates to outcomes in colorectal surgery / Ann Surg 250:507~513
Lutfiyya W / 2012 / A colorectal"care bundle"to reduce surgical site infections in colorectal surgeries : a single-center experience / Perm J 16:10~16
Pronovost P / 2006 / An intervention to decrease catheter-related bloodstream infections in the ICU / N Engl J Med 355:2725~2732
Waits SA / 2014 / Developing an argument for bundled interventions to reduce surgical site infection in colorectal surgery / Surgery 155:602~606
Arriaga AF / 2009 / The better colectomy project : association of evidence-based best-practice adherence rates to outcomes in colorectal surgery / Ann Surg 250:507~513
Lutfiyya W / 2012 / A colorectal"care bundle"to reduce surgical site infections in colorectal surgeries : a single-center experience / Perm J 16:10~16
Pronovost P / 2006 / An intervention to decrease catheter-related bloodstream infections in the ICU / N Engl J Med 355:2725~2732
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UCI(KEPA) : I410-ECN-0101-2020-514-001571454