title: Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery.
abstract: Surgical site infections are the most common complication of surgery in the United States. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effort to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.
authors.affiliation: Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland; the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; the Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina; the American College of Osteopathic Obstetricians and Gynecologists, Fort Worth, Texas; the Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; and Health Policy and Strategic Health Care Initiatives, American College of Obstetricians and Gynecologists, Washington, DC.
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Pellegrini
authors.forename: Paloma
authors.initials: P
authors.lastname: Toledo
authors.forename: David E
authors.initials: DE
authors.lastname: Soper
authors.forename: William C
authors.initials: WC
authors.lastname: Bradford
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Cruz
authors.forename: Barbara S
authors.initials: BS
authors.lastname: Levy
authors.forename: Lauren A
authors.initials: LA
authors.lastname: Lemieux
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis; D001831:Body Temperature; D003625:Data Collection; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000592:standards*; D006801:Humans; D015279:Organizational Culture; D016134:Organizational Policy; D010348:Patient Care Team; D010353:Patient Education as Topic; D011182:Postoperative Care; D017410:Practice Guidelines as Topic; D024382:Professional Role; D018570:Risk Assessment; D013530:Surgical Wound Infection / Q000517:prevention & control*
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local