Colorectal surgical site infection reduction strategies.
OBJECTIVE
PeaceHealth Sacred Heart Medical Center at RiverBend is a 379 bed hospital; 15,060 surgical procedures were performed in 2014 with 254 being colorectal surgical cases. Using the ACS NSQIP program the hospital was identified as a high outlier for surgical site infection (SSI) in all cases and in colorectal procedures in our July 2012 semiannual report (SAR).


METHODS
A best practice bundle to reduce SSI's and a colorectal enhanced recovery pathway were concurrently initiated


RESULTS
After implementation of these best practice elements, our ACS NSQIP results showed a reduction in our colorectal SSI rate from 17.58% for 2011 to 5.11% (1st decile/low outlier) in the January 2015 SAR. Our SSI rate for all cases were reduced from 4.87% to 1.71% (1st decile/low outlier) during the same time period. A reduction in length of stay for our colorectal surgical patients was also noted.


CONCLUSIONS
The ACS NSQIP program was essential to identify colorectal SSI as an area of concern and for providing data to drive quality improvement measures.
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477. Electronic address: ddehaas@peacehealth.org.
David
D
DeHaas
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477.
Steven
S
Aufderheide
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477.
Jan
J
Gano
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477.
Julie
J
Weigandt
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477.
Jan
J
Ries
Sacred Heart Medical Center at Riverbend, 3333 Riverbend Dr, Springfield, OR 97477.
Bobbi
B
Faust
D000046:Academic Medical Centers; D003107:Colorectal Surgery / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D010347:Patient Care Planning / Q000458:organization & administration*; D011322:Primary Prevention / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D058996:Quality Improvement; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014481:United States
ACS NSQIP; Colorectal surgery; SSI; Surgical site infections