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KMID : 0371420200990050285
Annals of Surgical Treatment and Research
2020 Volume.99 No. 5 p.285 ~ p.293
Implementing a multidisciplinary care bundle to reduce colon surgical site infections
Park Chi-Min

Ha Tae-Sun
Lee Woo-Yong
Chung Doo-Ryeon
Park Yoon-Ah
Choi Jong-Rim
Jeong Na-Yeon
Abstract
Purpose: The aim of this study was to investigate how rates of surgical site infections (SSI) were changed over 2 years after applying colon SSI bundle in patients who underwent colon surgery.

Methods: The multidisciplinary working group developed a care bundle consisting of 8 components, including several recommendations of Surgical Care Improvement Project and monitoring of medical/surgical hand washing. We implemented the care bundle for each patient who underwent colon surgery from April 2013 to December 2014.

Results: Overall bundle compliance was 87.9% before implementation, 88.2% in 2013, and 90.5% in 2014. In particular, compliance of the following 3 components was substantial improved during the project period; discontinuation of prophylactic antimicrobial agent within 24 hours of surgery (from 88.3% to 100%), surgical hand washing (from 50.0% to 78.9%), and medical hand washing (from 74.7% to 82.8%). The rate of SSI was 8.0% (12/150) during 3 months before implementation, 3.3% (16/480) from April to December in 2013, and 2.3% (14/607) in 2014.

Conclusion: After implementation of multidisciplinary care bundle, the compliance of each component was increased and rates of SSIs were significantly decreased compared to those before the quality improvement project.
KEYWORD
Bundle, Colorectal surgery, Compliance, Surgical wound infection
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