AJIC: American Journal of Infection Control
Volume 37, Issue 5 , Pages 398-402 , June 2009

Identifying opportunities for quality improvement in surgical site infection prevention

  • Anna R. Gagliardi, PhD

      Affiliations

    • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    • Corresponding Author InformationAddress correspondence to Anna Gagliardi, PhD, Scientist, Sunnybrook Health Sciences Centre, assistant professor, Department of Surgery, Department of Health Policy, Management & Evaluation, Faculty of Medicine, University of Toronto, 2075 Bayview Ave, Toronto, Ontario, Canada M4N3M5.
    • ,
  • Cagla Eskicioglu, MD

      Affiliations

    • University of Toronto, Toronto, Ontario, Canada
    • ,
  • Margaret McKenzie, RN

      Affiliations

    • Mt. Sinai Hospital, Toronto, Ontario, Canada
    • ,
  • Darlene Fenech, MD

      Affiliations

    • Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
    • ,
  • Avery Nathens, MD

      Affiliations

    • St. Michael's Hospital, Toronto, Ontario, Canada
    • ,
  • Robin McLeod, MD

      Affiliations

    • Mt. Sinai Hospital, Toronto, Ontario, Canada

References 

  1. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:250–278
  2. Kirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical site infections in the 1990s. Infect Control Hosp Epidemiol. 1999;20:725–730
  3. Perencevich EN, Sands KE, Cosgrove SE, Guadagnoli E, Meara E, Platt R. Health and economic impact of surgical site infections diagnosed after hospital discharge. Emerg Infect Dis. 2003;9:126–203
  4. 100 ,000 Lives Campaign. Prevent surgical site infections. Institute for Healthcare Improvement. Available at: http://www.ihi.org/IHI/Topics/PatientSafety/SurgicalSiteInfections. Accessed January 15, 2007.
  5. National Health Service. Winning ways: working together to reduce healthcare infection in England. Department of Health, United Kingdom, 2003. Available at: http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_4095070. Accessed January 15, 2007.
  6. Scottish Intercollegiate Guidelines Network Antibiotic prophylaxis in surgery. Royal College of Physicians, Edinburgh, July 2000. Available at: http://www.sign.ac.uk/guidelines/fulltext/45/index.html. Accessed January 15, 2007.
  7. Rural and Regional Health and Aged Care Services Division. Preventing surgical site infections. Victorian Government Department of Human Services, 2005. Available at: http://www.health.vic.gov.au/sssl/interventions/surgical.htm. Accessed January 15, 2007.
  8. Safer Healthcare Now! Campaign. Prevent surgical site infections. Canadian Patient Safety Institute, 2006. Available at: http://www.saferhealthcarenow.ca. Accessed January 15, 2007.
  9. Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Can Med Assoc J. 2004;170:1678–1686
  10. Greenhalgh T, Robert G, MacFarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581–629
  11. Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decision makers?. Milbank Q. 2003;81:221–248
  12. Gagliardi AR, Fenech D, Eskicioglu C, Nathen AB, McLeod R. Factors influencing antibiotic prophylaxis for surgical site infection prevention practice in general surgery: a review of the literature. Can J Surg. 2009;(In press)
  13. Stake RE. Case studies. In:  Denzin NK,  Lincoln YS editor. Strategies of qualitative inquiry. Thousand Oaks, CA: Sage Publications; 1998;p. 236–246
  14. Auerbach CF, Silverstein LB. Qualitative data: an introduction to coding and analysis. New York: New York; University Press; 2003;
  15. Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks, CA: Sage Publications; 1998;
  16. Pope C, Ziebland S, Mays N. Analysing qualitative data. Br Med J. 2000;320:114–116
  17. Kaufman DM. Applying educational theory in practice. Br Med J. 2003;326:213–216
  18. Davis D, O'Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey AL. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior?. J Am Med Assoc. 1999;282:867–874
  19. Lockyer J, Gondocz ST, Thivierge RL. Knowledge translation: the role and place of practice reflection. J Cont Ed Health Prof. 2004;24:50–56
  20. Mazmanian PE, Mazmanian PM. Commitment to change: theoretical foundations, methods and outcomes. J Cont Ed Health Prof. 1999;19:200–207
  21. Thompson GN, Estabrooks CA, Degner LF. Clarifying the concepts in knowledge transfer: a literature review. J Adv Nurs. 2006;53:691–701
  22. Lansisalmi H, Kivimaki M, Aalto P, Ruoranen R. Innovation in healthcare: a systematic review of recent research. Nurs Sci Q. 2006;19:66–72
  23. Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes. J Am Med Assoc. 2005;293:1223–1238
  24. Dy SM, Garg PP, Nyberg D, Dawson PB, Pronovost PJ, Morlock L, et al. Are critical pathways effective for reducing postoperative length of stay?. Med Care. 2003;41:637–648
  25. Pestotnik SL, Classen DC, Evans RS, Burke JP. Implementing antibiotic practice guidelines through computer-assisted decision support: clinical and financial outcomes. Ann Intern Med. 1996;124:884–890
  26. Frighetto L, Marra CA, Stiver HG, Bryce EA, Jewesson PJ. Economic impact of standardized orders for antimicrobial prophylaxis program. Ann Pharmacother. 2000;34:154–160
  27. Sapyta J, Riemer M, Bickman L. Feedback to clinicians: theory, research, and practice. J Clin Psychol. 2005;61:145–153
  28. Galvin RS, McGlynn EA. Using performance measurement to drive improvement: a road map for change. Med Care. 2003;41(Suppl 1):48–60
  29. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care. 2006;15:433–436
  30. Hysong SJ, Best RG, Pugh JA. Audit and feedback and clinical practice guideline adherence: making feedback actionable. Implement Sci. 2006;1:9
  31. Lemieux-Charles L, McGuire W. What do we know about health care team effectiveness? A review of the literature. Med Care Res Rev. 2006;63:263–300
  32. Tan JA, Naik VN, Lingard L. Exploring obstacles to proper timing of prophylactic antibiotics for surgical site infections. Qual Saf Health Care. 2006;15:32–38
  33. Bradley EH, Holmboe ES, Mattera JA, Roumanis SA, Radford MJ, Krumholz HM. The roles of senior management in quality improvement efforts. J Healthcare Manage. 2003;48:15–28
  34. Mannion R, Davies HTO, Marshall MN. Cultural characteristics of “high” and “low” performing hospitals. J Health Organ Manage. 2005;19:431–439

 Supported by a research grant from Colon Cancer Canada.

 Conflicts of interest: None to report.

PII: S0196-6553(08)00901-2

doi: 10.1016/j.ajic.2008.10.027

AJIC: American Journal of Infection Control
Volume 37, Issue 5 , Pages 398-402 , June 2009

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