title: Impact of implementation of the Surgical Care Improvement Project and future strategies for improving quality in surgery.
abstract: BACKGROUND
  We present a comprehensive systematic review of the effect of Surgical Care Improvement Project (SCIP) measures on surgical site infections (SSIs) as related to SCIP compliance.
  
  
  METHODS
  A systematic review of the peer-reviewed literature was performed on PubMed, Medline, and Cochrane database group using their own search engines. Keywords used were Surgical Care Improvement Project (SCIP), adherence, compliance, surgical site infection (SSI), infection bundle, antibiotics, perioperative antibiotics, and combinations thereof. Furthermore, reference lists of selected articles were cross-searched for additional literature. Papers published from January 1, 1998 to January 1, 2014 were included.
  
  
  RESULTS
  A comprehensive analysis of these data demonstrated an 18% decrease in the odds of developing SSI and a cumulative 4% decrease in SSI. The largest increases in compliance for individual SCIP measures were reported between 2004 and 2006. However, compliance with multiple measures simultaneously had the sharpest increase between 2006 and 2009 without a definitive asymptote ascertained from the current data.
  
  
  CONCLUSIONS
  These results represent some positive progress toward the SCIP task force's 2006 goal of a 25% decrease in SSI by 2010. Suggestions for improved future papers in this area were also added.
authors.affiliation: Department of Surgery, University of Louisville, Louisville, KY 40292, USA.
authors.forename: G Swope
authors.initials: GS
authors.lastname: Munday
authors.affiliation: Department of Surgery, University of Louisville, Louisville, KY 40292, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Deveaux
authors.affiliation: Price Institute of Surgical Research, Department of Surgery, University of Louisville School of Medicine, 511 South Floyd Street, Louisville, KY 40202, USA.
authors.forename: Henry
authors.initials: H
authors.lastname: Roberts
authors.affiliation: Department of Surgery, Northwestern University, Feinberg School of Medicine, 251 East Huron Street, Galter 3-150, Chicago, IL 60611, USA.
authors.forename: Donald E
authors.initials: DE
authors.lastname: Fry
authors.affiliation: Department of Surgery, University of Louisville, Louisville, KY 40292, USA. Electronic address: hpolksg@aol.com.
authors.forename: Hiram C
authors.initials: HC
authors.lastname: Polk
mesh_terms: D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D019990:Perioperative Care / Q000379:methods / Q000592:standards*; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D058996:Quality Improvement / Q000706:statistics & numerical data*; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014481:United States
keywords: Compliance; Infection; Perioperative antibiotics; Surgical Care Improvement Project; Surgical site infection