Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review

作者: Brigid Gillespie , Evelyn Kang , Shelley Roberts , Allison Homer , Nicola Morley

DOI: 10.2147/JMDH.S73565

关键词: MedicineSurgical woundExcellenceHealth careNursingData scienceMultidisciplinary approachBest practicePatient participationPsychological interventionQuality management

摘要: Purpose: To identify and describe the strategies processes used by multidisciplinary teams of health care professionals to reduce surgical site infections (SSIs). Materials methods: An integrative review research literature was undertaken. Searches were conducted in April 2015. Following included studies, data abstracted using summary tables methodological quality each study assessed Standards for Quality Improvement Reporting Excellence guidelines two reviewers. Discrepancies dealt with through consensus. Inductive content analysis strategies/processes prevent SSI. Results discussion: In total, 13 studies met inclusion criteria. Of these, 12 quantitative methods, while a single qualitative interviews. The majority North America. All evaluated multifaceted quality-improvement interventions aimed at preventing SSI patients undergoing surgery. Across reviewed, following team-based approaches enacted: bundled approach, sharing responsibility, and, adhering best practice. described team collaborations that circumscribed role. None reviewed input allied or patient participation prevention. Conclusion: Patient-centered increasing prevention evaluating contributions requires future research.

参考文章(44)
Denise Polit-O'Hara, Statistics and data analysis for nursing research Pearson. ,(2010)
Eduardo Salas, Deborah DiazGranados, Sallie J. Weaver, Heidi King, Does team training work? Principles for health care. Academic Emergency Medicine. ,vol. 15, pp. 1002- 1009 ,(2008) , 10.1111/J.1553-2712.2008.00254.X
Jacqueline L. Olin, Multidisciplinary approach to optimizing antibiotic prophylaxis of surgical-site infections American Journal of Health-system Pharmacy. ,vol. 63, pp. 2312- 2314 ,(2006) , 10.2146/AJHP060245
Elisa Mejia, Anne Williams, Martha Long, Decreasing Prosthetic Joint Surgical Site Infections: An Interdisciplinary Approach AORN Journal. ,vol. 101, pp. 213- 222 ,(2015) , 10.1016/J.AORN.2014.03.017
Alexandria Skoufalos, Janice L. Clarke, Marc Napp, Kenneth J. Abrams, Bettina Berman, Donna Armellino, Mary Ellen Schilling, Valerie Pracilio, Improving awareness of best practices to reduce surgical site infection: a multistakeholder approach. American Journal of Medical Quality. ,vol. 27, pp. 297- 304 ,(2012) , 10.1177/1062860611422122
Daniel S. Kassavin, Linda Pascarella, Michael A. Goldfarb, Surgical site infections: incidence and trends at a community teaching hospital The American Journal of Surgery. ,vol. 201, pp. 749- 753 ,(2011) , 10.1016/J.AMJSURG.2010.03.002
Christina M. Berenguer, M. Gage Ochsner, S. Alan Lord, Christopher K. Senkowski, Improving surgical site infections: using National Surgical Quality Improvement Program data to institute Surgical Care Improvement Project protocols in improving surgical outcomes. Journal of The American College of Surgeons. ,vol. 210, pp. 737- 741 ,(2010) , 10.1016/J.JAMCOLLSURG.2010.01.029
Kenneth F. Schulz, Douglas G. Altman, David Moher, , CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials PLoS Medicine. ,vol. 7, pp. e1000251- 332 ,(2010) , 10.1371/JOURNAL.PMED.1000251