BACKGROUND: Colon surgery is high risk for surgical site infection (SSI), extended hospital stays
and readmissions. Colon SSIs can add 10 extra days to initial stays, 2-3 fold increase
in costs, increased readmissions and is an independent predictor of mortality. We
discovered patients having colon surgery could have vastly different experiences depending
on where their surgery was to take place and on the surgeon. There were many delays
and/or cancellations due to system errors that were not recognized until the day of
surgery (DOS). There was confusion at admission and at discharge surrounding patient
expectations and preps and what their surgeon wanted for postop instructions.
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