Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery.
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 effot 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.
Department of Organizational Systems and Adult Health, Nurse Anesthesia Program, University of Maryland School of Nursing, Baltimore.
Joseph E
JE
Pellegrini
Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago.
Paloma
P
Toledo
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston.
David E
DE
Soper
American College of Osteopathic Obstetricians and Gynecologists, Fort Worth.
William C
WC
Bradford
Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia.
Deborah A
DA
Cruz
Health Policy and strategic Health Care Initiatives, American College of Obstetricians and Gynecologists, Washington, DC.
Barbara S
BS
Levy
Health Policy and strategic Health Care Initiatives, American College of Obstetricians and Gynecologists, Washington, DC.
Lauren A
LA
Lemieux
D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D061214:Patient Safety / Q000592:standards*; D013530:Surgical Wound Infection / Q000517:prevention & control*
Joint Commission Surgical Care Improvement Project; Staphylococcus aureus; gynecologic surgery; hysterectomy; patient safety; quality improvement; surgical site infection