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Hitting All the Targets: How a Colon Surgical Bundle Reduces Infections, Length of Stay and Readmissions

      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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