Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report.
antibiotic management
infection control
quality improvement
surgical wound infection
Journal
BMJ open quality
ISSN: 2399-6641
Titre abrégé: BMJ Open Qual
Pays: England
ID NLM: 101710381
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
03
06
2020
revised:
12
08
2020
accepted:
08
09
2020
entrez:
22
9
2020
pubmed:
23
9
2020
medline:
1
1
2021
Statut:
ppublish
Résumé
Despite widespread adoption of the Surgical Care Improvement Programme, the incidence of surgical site infections (SSIs) remains high. It is possible that lapses in appropriate administration of antimicrobial prophylaxis may play a role. We noted significant discordance with national guidelines with regards to intraoperative antibiotic administration at our institution, leading to implementation of a quality improvement initiative using multidisciplinary education and reminder-based interventions to improve prescribing practices and increase compliance with national guidelines. We observed a significant improvement in adherence to all aspects of antibiotic administration guidelines as a result of such interventions. Targeted multidisciplinary interventions may help improve prescribing practices of surgical antimicrobial prophylaxis and provide an opportunity to potentially decrease the burden of SSI and the related morbidity and mortality.
Identifiants
pubmed: 32958474
pii: bmjoq-2020-001042
doi: 10.1136/bmjoq-2020-001042
pmc: PMC7507890
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NCATS NIH HHS
ID : TL1 TR002016
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002014
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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