Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report

BMJ Open Quality

article

Victoria Haney¹  Stephan Maman¹  Jansie Prozesky¹  Dmitri Bezinover¹  Kunal Karamchandani¹ 

[1] Anesthesiology and Perioperative Medicine , Penn State Health Milton S Hershey Medical Center

关键词: infection control;    quality improvement;    surgical wound infection;    antibiotic management;   

DOI  :  10.1136/bmjoq-2020-001042

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Despite widespread adoption of the Surgical Care Improvement Programme, the incidence of surgical site infections (SSIs) remains high. It is possible that lapses in appropriate administration of antimicrobial prophylaxis may play a role. We noted significant discordance with national guidelines with regards to intraoperative antibiotic administration at our institution, leading to implementation of a quality improvement initiative using multidisciplinary education and reminder-based interventions to improve prescribing practices and increase compliance with national guidelines. We observed a significant improvement in adherence to all aspects of antibiotic administration guidelines as a result of such interventions. Targeted multidisciplinary interventions may help improve prescribing practices of surgical antimicrobial prophylaxis and provide an opportunity to potentially decrease the burden of SSI and the related morbidity and mortality.infection controlquality improvementsurgical wound infectionantibiotic managementhttp://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND